Heart-shaped intratesticular spermatocele (Rorschach radiology)
Presentation
The patient presents with chronic testicular pain. Request for scrotal ultrasound.
Patient Data
The ultrasound revealed tubular ectasia of the epididymal body and tail bilaterally, with epididymal head and intratesticular spermatoceles. The left intratesticular spermatocele is unusually heart-shaped.
Image courtesy: Dr S Palliam
Case Discussion
Spermatoceles are usually irregular, with low-level internal echoes while simple intratesticular cysts have uniform and smooth, thin walls and appear anechoic. In this instance, low-level echoes are present with a heart-shaped intratesticular spermatocele. The presence of bilateral tubular ectasia of the epididymal bodies and epididymal head spermatoceles further reaffirmed the intratesticular spermatocele diagnosis.
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