Pelvic mass measures 6 cm and is associated with the mesenteric vascular pedicle in the pelvis. It is closely associated with bowel loops, but not obviously arising from bowel, no obstruction.
The remaining abdominal viscera are unremarkable. No hydronephrosis.
There is no retroperitoneal lymphadenopathy.
The lungs are clear. There is no lymphadenopathy in the chest. No bone lesion.
Comment: Isolated pelvic mass. The location is unusual for a germ cell tumour recurrence, ultrasound guided biopsy is possible.