Demographics:
68 years old, Male
Indication:
Left testicular pain
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.
Discussion
References