CT - CT chest-abdomen-pelvis
Mediastinal and retrocrural lymphadenopathy.
Solid vascular mass measuring 10.3 x 12.1 x 8.0 cm in the left upper mediastinum, protruding in large part into the left hemithorax. The mass insinuates into the left atrium though the left upper pulmonary vein - tumor thrombus.
Numerous rounded solid nodules with maximum diameter of 2.9 cm scattered thoughout the lungs, most probably metastases.
Minuscule amount of pleural fluid on the left.
Heterogeneous solid confluent masses surround the abdominal aorta, most probably representing massive retroperitoneal lymphadenopathy, including enlarged necrotic lymph nodes.
There is erosion into the L2 vertebra on the right, resulting in a pathological fracture and soft tissue fullness within the spinal canal.
Small amount of free intraperitoneal fluid.
Post-surgical changes in the scrotal surgical bed as well as in the right groin and right lower abdominal wall.
To summarize:
Large upper mediastinal mass on the left, including tumor thrombus in left atrium.
Numerous bilateral pulmonary nodules, most probably metastases.
Mediastinal and retrocrural lymphadenopathy.
Massive retroperitoneal lymphadenopathy.
Erosion into L2 vertebra with resultant pathological fracture and soft tissue fullness.