Node.js File Upload (Express 4, MongoDB, GridFS, GridFS-Stream)

I am trying to setup a file API in my node.js application. My goal is to be able to write the file stream directly to gridfs, without needing to store the file to disk initially. It seems like my create code is working. I am able to save a file upload to gridfs. The problem is reading the file. When I try to download a saved file via a web browser window, I see that the file contents are wrapped with something like the following: