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Playing football all day. Pain and swelling to Left scrotal half ? torsion.
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Left hydrocele is present.
The epididymis is enlarged and echogenic consistent with epididymitis.
Note that good central blood flow on doppler doesn't exclude torsion. Clinician was quering torsion. Clinical examination findings not given, however, if there was high clinical suspicion of torsion, ultrasound is inappropriate for this patient.