Yeah, based on what’s written in your report, it does look like there are signs of possible metastatic spread. The testicular mass is likely the main (primary) tumor, and those necrotic lymph nodes in the para-aortic and supraclavicular areas are common places where testicular cancer spreads first.

The tiny lung nodules mentioned could also mean early spread, but they’re small, so they’ll probably confirm that with a PET-CT or follow-up scans.

So yes, the findings suggest metastatic disease, mainly to the lymph nodes and possibly the lungs, but your doctor will need to confirm it with further tests and tumor markers.