Demographics:
45 years old, Male
Indication:
Bilateral testicular pain
Findings
- Heterogeneous bilateral testicular echotexture with increased bilateral testicular and epididymal vascularity
- Rounded hypoechoic structure in the right testis measuring 2.8 x 2.7 x 2.1 cm without internal vascularity
- Moderate right and small left hydroceles with minimal internal echogenic debris but no loculations
- Edematous appearance of the scrotum
Diagnosis
Segmental testicular infarct
Sample Report
Heterogeneous bilateral testicular echotexture with increased bilateral testicular and epididymal vascularity, concerning for bilateral epididymo-orchitis.
Rounded hypoechoic structure in the right testis measuring 2.8 x 2.7 x 2.1 cm without internal vascularity, which may represent a developing abscess, hypovascular or centrally necrotic testicular neoplasm, granulomatous disease, or segmental testicular infarct. Recommend urology consultation and followup imaging with ultrasound or MRI following treatment for further assessment.
Moderate right and small left hydroceles with minimal internal echogenic debris but no loculations, likely reactive.
Edematous appearance of the scrotum.
Discussion