CT abdomen / pelvis
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There is a large (45 x 33 x 48mm) centrally hypodense lesion with internal septations at the level of L4 anterior to and compressing the IVC. No other masses or lymphadenopathy.
Surgical material in keeping with previous Meckels diverticulum resection with evidence of approach through right lateral wall. No evidence of appendicitis.
There is a trace of free fluid in the pelvis. The liver, gallbladder, spleen, pancreas, kidneys and adrenals are unremarkable. The lung bases are clear. No destructive osseous lesion.
Round mass anterior to the IVC resulting in IVC compression. The appearance is suggestive of metastatic lymphadenopathy. In this patient demographic right testicular tumour is suspected.