EURORAD ESR

Case 15133

Metastatic testicular non-seminomatous germ cell tumour

Author(s)
Matos Elizabeth, Branco Inês, Coelho Paula, Portugal Pedro

Centro Hospitalar de Vila Nova de Gaia/Espinho
Department of Radiology
Conceição Fernandes 1079, Vila Nova de Gaia, Portugal
 
Patient
male, 18 year(s)
 
 
  • Figure 1
    Axial images of the superior retroperitoneum of abdominal US
     

    A retroperitoneal solid lobulated mass in the interaortocaval space - with homogeneous solid ecogenicity. Obliteration of IVC – with luminal reduction, margin irregularity and a solid luminal component (arrows).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A retroperitoneal solid lobulated mass in the interaortocaval space - with homogeneous solid ecogenicity. Obliteration of IVC – with luminal reduction, margin irregularity and a solid luminal component (arrows).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Axial images of the upper abdomen (hepatic evaluation) of US
     

    Multiple nodular and solid hepatic lesions: with well-defines margins, hyperecogenicity with internal heterogeneity. They obliterate the vessels, suggesting metastases in a young male presenting with a...

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Multiple nodular and solid hepatic lesions: with well-defines margins, hyperecogenicity with internal heterogeneity. They obliterate the vessels, suggesting metastases in a young male presenting with a...

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 3
    Axial images of abdominal MDCT (40 secs after IV bolus contrast)
     

    A retroperitoneal right-sided solid mass (with 10 cm) showing: poor-defined margins, a heterogeneous density with a solid hypervascular and irregular peripheral component and hypodense central necrotic areas. It is...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A retroperitoneal right-sided solid mass (with 10 cm) showing: poor-defined margins, a heterogeneous density with a solid hypervascular and irregular peripheral component and hypodense central necrotic areas. It is...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Axial images of dynamic liver MDCT (arterial,venous and delay)
     

    Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 5
    Axial images of thorax MDCT (mediastinum window, after IV contrast).
     

    Multiple lung solid well-defined nodules in a diffuse and predominantly peripheral distribution; enhancing in a similar pattern as the hepatic lesions: suggesting metastases in a young male with a retroperitoneal mass.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Multiple lung solid well-defined nodules in a diffuse and predominantly peripheral distribution; enhancing in a similar pattern as the hepatic lesions: suggesting metastases in a young male with a retroperitoneal mass.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 6
    Longitudinal and axial images of right testis US
     

    A solid intra-testicular mass with irregular well-defines margins, a hypoecogenic and heterogeneous echotexture; and internal echogenic foci with posterior acoustic shadowing due to calcifications. In the surrounding...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A solid intra-testicular mass with irregular well-defines margins, a hypoecogenic and heterogeneous echotexture; and internal echogenic foci with posterior acoustic shadowing due to calcifications. In the surrounding...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
A retroperitoneal solid lobulated mass in the interaortocaval space - with homogeneous solid ecogenicity. Obliteration of IVC – with luminal reduction, margin irregularity and a solid luminal component (arrows).
 
A retroperitoneal solid lobulated mass in the interaortocaval space - with homogeneous solid ecogenicity. Obliteration of IVC – with luminal reduction, margin irregularity and a solid luminal component (arrows).
 
Multiple nodular and solid hepatic lesions: with well-defines margins, hyperecogenicity with internal heterogeneity. They obliterate the vessels, suggesting metastases in a young male presenting with a retroperitoneal mass.
 
Multiple nodular and solid hepatic lesions: with well-defines margins, hyperecogenicity with internal heterogeneity. They obliterate the vessels, suggesting metastases in a young male presenting with a retroperitoneal mass.
 
A retroperitoneal right-sided solid mass (with 10 cm) showing: poor-defined margins, a heterogeneous density with a solid hypervascular and irregular peripheral component and hypodense central necrotic areas. It is replacing by invasion the IVC.
 
A retroperitoneal right-sided solid mass (with 10 cm) showing: poor-defined margins, a heterogeneous density with a solid hypervascular and irregular peripheral component and hypodense central necrotic areas. It is replacing by invasion the IVC.
 
Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.
 
Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.
 
Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.
 
Multiple hepatic lesions with: (A) a peripheral hypervascular solid component; (B and C) progressive enhancement with heterogeneity and hypodense central areas - due to necrosis; (D) and wash-out; suggesting metastases.
 
Multiple lung solid well-defined nodules in a diffuse and predominantly peripheral distribution; enhancing in a similar pattern as the hepatic lesions: suggesting metastases in a young male with a retroperitoneal mass.
 
Multiple lung solid well-defined nodules in a diffuse and predominantly peripheral distribution; enhancing in a similar pattern as the hepatic lesions: suggesting metastases in a young male with a retroperitoneal mass.
 
A solid intra-testicular mass with irregular well-defines margins, a hypoecogenic and heterogeneous echotexture; and internal echogenic foci with posterior acoustic shadowing due to calcifications. In the surrounding parenchyma - microlithiasis.
 
A solid intra-testicular mass with irregular well-defines margins, a hypoecogenic and heterogeneous echotexture; and internal echogenic foci with posterior acoustic shadowing due to calcifications. In the surrounding parenchyma - microlithiasis.
 
 
 
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