Patient has undergone ultrasound, followed by MRI and CT scan of testicular region. What would have been the most appropriate radiological investigation(s) after ultrasound?
MRI did not add much to evaluation, although it clarified doubts about local extent. A CT scan of chest and abdomen should have been performed to stage the disease (specifically, pulmonary nodules and mediastinal and para-aortic nodal metastases).
Immediately after MRI, CT was done as correlative imaging and specifically to rule out calcification (teratoma/carcinoma).
Solid-cystic mass lesion in right testes. MRI gadolinium contrast is still seen. No calcification is however seen.