Presentation
Enlarged testes with a palpable mass on the left.
Patient Data
Age: 65 years
Gender: Male
From the case:
Fibrous pseudotumor of the tunica vaginalis
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Marked irregluar multinodular thickening of the tunica vaginalis surrounding the left testis with no significant signal Doppler within. A reactive anechoic hydrocèle is noted. The left testis is of normal size and echotexture.
Large right hydrocele with normal normal testis.
Case Discussion
Marked thickening of the left tunica vaginalis with a reactive hydrocele, pathologically proven as fibrous pseudotumor of the tunica vaginalis.
On imaging, the main differential diagnosis is the mesothelioma of the tunica vaginalis.
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