There are moments when a doctor knows their diagnosis has made a profound difference in a patient’s treatment. Often, the patient may never fully understand the complexities and challenges that went into reaching that conclusion. As Radiologists, we take pride in the behind-the-scenes work — the meticulous analysis and dedication that helps doctors make life-changing decisions.

This log book reflects a few of those moments, reminding us of the meaningful impact we make on patient care.

Thursday, 9 July 2026

​Testicular Malignancy


Enlarged Para-Aortic Nodes

Testicular Masses


Looking Beyond the Kidneys: An Unexpected Diagnosis

An Ultrasound KUB was performed for a patient presenting with blood in the urine (hematuria).

During the examination, enlarged para-aortic lymph nodes were identified—an unusual finding that raised suspicion for an underlying testicular malignancy. Based on these findings, the patient was counseled about the possibility of a testicular source and was encouraged to undergo a scrotal ultrasound, despite having no specific referral for the scrotum.

The additional evaluation confirmed the suspicion, allowing the diagnosis to be established. The patient was subsequently referred to PGI for definitive treatment. On follow-up after surgery, the patient returned with records confirming the diagnosis.

This case highlights the value of clinical reasoning and a comprehensive imaging approach. Sometimes, recognizing an indirect clue and investigating beyond the initial referral can lead to the timely diagnosis of a serious condition.


Diagnosed by: Dr. Ayush Goel


SHIVI Imaging Centre

Digital X-Ray • Ultrasound • Colour Doppler • Advanced DEXA Scan • OPG • Mammography Centre

📍 #660, Sector 7, Near ITI College for Boys, Opposite Doctor’s Colony, Ambala City, Haryana, India

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