Germ Cell Tumor 32 year old Male with a Left Testicular Mass US of the left testis in the sagittal plane shows a 2.3cms heterogeneous mass with impingement of the tunica albuginea anteriorlyAshley Davidoff MD133668 US of the left testis in the transverse plane shows a 2.3cms heterogeneous mass with impingement of the tunica albuginea anteriorlyAshley Davidoff MD133669 US of the left testis in the sagittal plane shows a 8 X 5 X 6 mms cystic component of the massAshley Davidoff MD133664c Doppler US in the sagittal plane US shows a heterogeneous mass with some areas of minimal vascularity and other areas of necrosis.Ashley Davidoff MD133673c Axial CT reveals lymphadenopathy in the region of the left renal vein and in the aortocaval space. The nodes measure up to 1.5cmsAshley Davidoff MD133682c Coronal CT reveals a cluster of enlarged lymph in the region of the distribution of the left gonadal vessels and left renal vein. The nodes measure up to 1.5cms These findings are consistent with pathological adenopathyAshley Davidoff MD133684