Testicular infarction from torsion
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Acute onset, the atraumatic origin of left hemiscrotal pain for six days. No fever.
The symptomatic left testis is edematous with the loss of normal echopattern without vascularity. Multiple small hypoechoic areas are present in it. The long axis of the intrascrotal left spermatic cord shows narrowing which is a site of twisting. There is minimal reactive fluid in the tunica vaginalis.
The right testis shows the normal size, echopattern, and vascularity.