Testicular nonseminomatous germ cell tumor
Painless right scrotal swelling for one month.
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The right testicle is enlarged with a markedly heterogeneous grayscale appearance and increased flow on color Doppler imaging. The appearance is not specific, but concerning for a malignant.
There is no calcification in the right testicular mass. There is a thin rim of normal parenchyma at the lower pole. Arterial as well as venous flow is detected in mass.testicular tumor.
Left normal testis
Serum B HCG: 1003 mIU / ml (normal men <3.0)
Serum AFP: 1071 IU / ml (normal 0 - 15)