Patient has undergone ultrasound, followed by MRI and CT scan of testicular region. What would have been more essential battery of radiological investigation after ultrasound?
MRI did not add much to appearance, though it clarified doubts about local extent. A CT scan of chest and abdomen should have been performed to stage the disease (specifically, pulmonary and mediastinal NSGCTs, and para-aortic lymph nodes).
Immediately after MRI, CT was done as correlative imaging and specifically to rule out calcification (teratoma/carcinoma).
- CT (non-contrast):