The right testis is diffusely enlarged with heterogeneous and hypoechogenic echotexture (implying necrosis), with no evidence of vascular flow. The left testis shows prominence of the rete testis but is otherwise normal in size and echotexture, without vascular abnormalities. Right testis: ~ 27.6 mL, left testis: ~10 mL. The left epididymis is unremarkable, and the right one is of limited assessment.
Moderate right hydrocele with a few septations. There is diffuse thickening of the scrotal wall on the right. Right iliac fossa transplanted kidney has normal sonographic appearances, no hydronephrosis.