Acute orchitis with pyocele
Young male presented with painful right scrotal swelling. No history of trauma.
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- enlarged right testis with hypervascularity on Doppler imaging
- extra-testicular tiny floating echoes with thin septa favour pyocele
- right spermatic cord was thickened, echogenic and hypervascular when compared to left (no image uploaded here)
- right sided reactive inguinal nodes were present (no image uploaded here)
Acute orchitis with pyocele was the final diagnosis.