Presentation
Left scrotal pain. High grade fever.
Patient Data
Age: 35 years
Gender: Male
From the case:
Testicular abscess
![](https://prod-images-static.radiopaedia.org/images/11634658/3d9499b0da898147ab6f6b80f83be6_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/11634659/18da1166b26e75107a9ebd2e3d2dc0_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/11634660/0eb41b28e11e38f48f9d9b6dbd7323_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/11634664/8e00ceb9ecec5774e62e45a3886313_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/11634667/02a5f1695554067bcb552212b96570_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/11634672/d91c353f68f6b3430d4e0b3423f2e1_thumb.jpg)
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![](https://prod-images-static.radiopaedia.org/images/11634714/1a9de0d263966ca8629a1ad7b41594_thumb.jpg)
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Info
![](https://prod-images-static.radiopaedia.org/images/11634658/3d9499b0da898147ab6f6b80f83be6_big_gallery.jpg)
Left testis is enlarged and shows multiple thick walled hypoechoic lesions consistent with abscesses. Left epididymis is also mildly bulky with increased color flow. Right testis and epididymis are normal.
Case Discussion
Testicular abscess is usually a complication of severe epididymo-orchitis and needs to be distinguished from other testicular pathology that may present with similar clinical or imaging features.