Scrotal ultrasound - multiple pathology

Case contributed by Dr Maulik S Patel

Presentation

RIGHT hemiscrotal painless swelling for more than six months.

Patient Data

Age: 55 yrs
Gender: Male
Modality: Ultrasound

Right testis :   42 x 23 x 23 mm: ~12 ml  

  • normal size and echogenicity
  • no focal lesion

Left testis :     37 x 29 x 23 mm: ~14 ml                      

                      - normal size

                      - Tiny tubular cystic channels are noted along rete testies near upper pole.

                      - Rest of the testis show normal echogenicity.

                       - No focal lesion is seen.

RIGHT epididymis: appear normal in size and echogenicity.

LEFT epididymismultiple thin walled cyst with internal mobile tiny foci are noted in head region; largest 15 mm. Body and tail appear normal.

Gross hydrocele is seen on right side.No hydrocele is noted on left side.

Spermatic cord on either sides reveal normal thickness.Scrotal wall thickness is normal on both sides.

Both the testes reveal normal vascularity. Arterial as well as venous intraparenchymal flow is seen on both the sides.

Case Discussion

Finding of

- RIGHT tunica vaginalis hydrocele.

- Spermatoceles in head of LEFT  epididymis.

- Tubular dilatation of LEFT rete testis near upper pole.

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Case Information

rID: 30378
Case created: 6th Aug 2014
Last edited: 15th Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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