(a) Axial slice from CT KUB in a 35-year-old patient who presented with acute right flank pain demonstrates large retroperitoneal nodal disease. (b) Coronal image from contrast CT shows large nodal disease causing right hydronephrosis, deviation of the aorta and a solitary liver metastasis. (c) Colour Doppler ultrasound from the same patient shows a solitary lesion in the right testis in keeping with a primary testicular tumour.