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Age: 68

Sex: Male

Indication: Left testicular pain

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Case #38


Findings

  • Normal, symmetric testicular size, echogenicity, and vascularity bilaterally
  • Multiple dilated tubular and cystic structures in the mediastinum testis bilaterally
  • Bilateral testicular microlithiasis
  • Bilateral epididymal cysts
  • No hydrocele or varicocele


Diagnosis

  • No acute findings
  • Tubular ectasia of the rete testis
  • Testicular microlithiasis

Sample Report

No findings to explain acute testicular pain. No evidence for testicular torsion.

Bilateral tubular ectasia of the rete testis, which is an incidental finding requiring no followup imaging.

Bilateral testicular microlithiasis, which is a commonly incidental finding in adults. If the patient is at average risk for testicular cancer, then no further imaging followup is recommended. If he is at increased risk (e.g. personal history or first-degree relative with history of testicular cancer, history of cryptorchidism or testicular maldescent, or testicular atrophy), then urology referral is recommended for further assessment.


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Images

Multiple cystic structures along the mediastinum testis (red arrows), consistent with tubular ectasia of the rete testis.



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