Persistant pain of the right side of the abdomen. No prior relevant medical history.
Confluent multilobular left paramedian mass (13.6 cm x 8.6 cm), bounded superiorly by the renal vein and artery, extending caudally to the level of the aortic bifurcation. The lesion extends slightly to retro aortic.
Mass with a maximum diameter of 4 cm in the left testis, which may be consistent with a seminoma testis. The relatively large seminoma testis in particular can contain cysts. Cysts however, are a slightly better match for non-seminoma.
Metastasis in the left abdomin and a seminoma tumor of the left testis.
