Presentation
Swollen, erythematous left hemiscrotum.
Patient Data
The scrotal skin is thickened bilaterally.
The testes are of normal size and echotexture.
Right testis shows normal blood flow, left testis is hyperemic.
Right epididymis appears normal. Tiny cyst between the epididymal head and the testes - likely, an epididymal cyst.
Left epididymis is thickened and hyperemic, particularly its tail. A focus of mixed echogenicity and several smaller hypoechoic foci In the epididymal tail, all demonstrating a lack of internal flow - most compatible with abscesses.
Left septated hydrocele of moderate amount.
Case Discussion
The sonographic findings are compatible with left epididymo-orchitis. The foci in the epididymal tail likely represent small abscesses.
Left moderate hydrocele with septations, either representing a pyocele or postinflammatory.
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