Demographics:
42 years old, Male
Indication:
Right testicle pain and swelling
Findings
- Asymmetrically increased Doppler flow in the right testis and right epididymis
- Circumscribed, heterogeneous, hypoechoic lesion with hyperechoic internal reflectors measuring 2.4 x 2.3 x 1.6 cm in the right testis with a hyperechoic rim and lack of internal Doppler flow
- Small right hydrocele
- Normal appearance of the left testis
- Incidental small left epididymal cyst measuring up to 0.6 cm
Diagnosis
Epididymo-orchitis with testicular abscess
Sample Report
Asymmetrically increased Doppler flow in the right testis and right epididymis, consistent with epididymo-orchitis.
Circumscribed, heterogeneous, hypoechoic lesion with hyperechoic internal reflectors measuring 2.4 x 2.3 x 1.6 cm in the right testis with a hyperechoic rim and lack of internal Doppler flow, concerning for a testicular abscess. However, a necrotic testicular neoplasm, segmental testicular infarct, or granulomatous disease could have a similar imaging appearance. Recommend follow-up imaging after treatment to ensure expected evolution of findings and to exclude neoplasm.
Small reactive right hydrocele.
Discussion