Figure it out fridays 

#41

 A 35-year-old man presented to the emergency department with abdominal pain and vomiting. Despite a history of surgery for a left undescended testis in infancy, his left-sided scrotum appeared underdeveloped. CT scan showed a pelvic mass, with high-density ascites suggestive of hemorrhage. What is the most likely diagnosis?

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A. GIST 

B. Ectopic kidney  

C. Testicular Seminoma

D. Metastatic Tumor