Reason: testicular cancer, evaluate for mets ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left hydronephrosis is again seen.RETROPERITONEUM, LYMPH NODES: Right para-aortic lymphadenopathy there is decrease in size. Nonspecific soft tissue fullness is also decreased in size. Reference measurements as below. Previously seen calcified region of the right pelvic wall mass also appears decreased in size.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Decreased reference lesion size as above. 2.For follow-up, recommend contrast-enhanced study.