Bilateral tubular ectasia of the rete testis

Case contributed by Dmitriy Mikhalev
Diagnosis almost certain

Presentation

Enlargement of the right testicle.

Patient Data

Age: 55 years
Gender: Male

On MRI, cystic enlargement or ectasia of multiple small tubules of the testicular network looks like a hyperintensive T2, hypointensive T1, without restriction of diffusion. There is no gain after internal injection.

Case Discussion

General information: it represents the expanded tubules of the mediastinum of the testicle. This condition is more common in men over the age of 55. It is often bilateral, often combined with a spermatocele, and may result from vasectomy.

Method of choice: high-resolution ultrasound (>7.5 MHz).

Treatment and prognosis: this is a benign finding with no known clinical consequences.

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