CT abdomen (no pathological finding in CT chest; not shown): staging for paratesticular mass
- small left paratesticular solid mass, as also shown on ultrasonogram, displaying irregular borders and both peripheral and internal enhancement
- heterogeneous mass measuring ~4.2 x 3.8 x 8.2 cm with peripheral enhancement, occupying the left ischiorectal fossa and extending anteriorly along the penile left corpus cavernosum, posteriorly to gluteus maximus, laterally to inferior pubic ramus, and crossing the midline
- left internal iliac lymph node measuring 2.7 cm short axis with peripheral enhancement
- left adrenal solid mass measuring 3.2 x 1.9 x 1.9 cm
In conclusion:
Left paratesticular mass with local extension as a left ischiorectal fossa mass, regional lymph node spread to left internal iliac chain and a distant metastasis to left adrenal.