Help interpreting my CT scan results?
From what I can see it's good news? I'm a 51 year old male so this is at the older end of the spectrum for getting TC! Background: went for a checkup and they found a lump in right testicle - I am still waiting on the histology of what type of cancer it is/was as had testicle removed by orchidectomy 3 weeks ago today.
My pre-orchidectomy bloods were normal at:
AFP - 4
HCG - 1
LDH - 172
I had a contrast CT scan two weeks ago and the results are below:
CT CHEST:
No axillary, supraclavicular, mediastinal or hilar lymphadenopathy.
No pleural or pericardial effusion.
No pulmonary nodules or mass lesion.
No airspace opacification or septal changes.
No endobronchial lesions.
CT abdomen and pelvis:
No hepatic metastases.
The gallbladder, biliary tree, pancreas, spleen, adrenal glands and both kidneys are unremarkable.
No hydronephrosis.
No ascites.
No mesenteric, retroperitoneal, pelvic or inguinal lymphadenopathy.
Normal calibre small and large bowel loops with no definite mass lesion.
The bladder appears grossly normal.
Subcutaneous fat stranding in the right lower quadrant/groin which appears to extend into the right
inguinal canal and right hemiscrotum, presumed related to recent surgery.
No concerning focal bone lesion.
COMMENT:
No evidence of nodal or distant metastatic disease.
Meeting with the surgeon in a few days, but does it look like I am in the clear as far as spread goes? I have had a painful back for a month but perhaps unrelated?
What would next steps be for someone in my situation? Guessing surveillance or a short round of chemo?
Cheers
Posted Jul 29, 2025, 6:24 AM UTC