PMC4846656_01
Transverse sonographic view of the cranial abdomen displaying a transverse section of the largest mass (arrowheads surround the mass). Note the presence of intralesional cavitations.
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F1
The largest mass occupied the majority of the right abdominal cavity and had a cavitated appearance (Figure 1) with minimal perfusion on color flow Doppler.
(A) Transverse post-contrast CT image at the level of the right testicular torsion (whirl-sign arrowed) and the left testicular mass (arrowheads). An adjacent enlarged lymph node is also labeled (*). The right side of the patient is oriented to the reader's left. (B) Transverse post-contrast CT image at the level of the right kidney demonstrating the cavitated right testicular mass with enlarged tortuous vascular pedicle (arrow). Note that peritoneal effusion is evident in both images.
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F2
Both testicular masses exhibited heterogeneous contrast enhancement (Figures 2A,B).
Post surgical picture of the largest of the removed masses - the right testis.
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F3
The right testis, approximately 25 cm, had a multilobulated, cystic appearance with 360  torsion of the spermatic cord (Figure 3).