The right testis has an ill-defined heterogeneous solid mass, which shows prominent internal vascularity and measures about 3.2 x 1.7 x 3.7 cm. The right testicle measures 4.3 x 3.20 x 2.1 cm.
The left testicle has a normal size and preserved vascularity, measuring 3.1 x 2.2 x 1.4 cm. Microlithiasis noted within both testicles.
There is no hydrocele. Both epididymides have normal sonographic appearances. The scrotal wall has normal thickness and appearances.
Both kidneys have normal size, cortical thickness, echogenicity. No hydronephrosis. The right kidney measures 10.1 cm and the left kidney measures up to 11 cm in length. Known cirrhotic liver partially imaged.
Conclusion: Right testicular mass suggestive of a primary malignancy, most likely seminoma.