Presentation
Left scrotal pain with suspected left-sided varicocele.
Patient Data
Age: 40 years
Gender: Male
From the case:
Testicular lipomatosis
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Scattered multiple well-defined, non-shadowing, homogeneously hyperechoic (of fat-similar echogenicity) lesions in both testicles, with no detected intra-lesion Doppler color flow.
Otherwise, both testicles show normal size and outline (with no tunica albuginea distortion) and preserve normal Doppler color flow (shown) and pulse wave (not shown).
Case Discussion
The incidental features noted above are likely to represent testicular lipomatosis. Left-sided varicoceles were confirmed sonographically (not shown).
Further management may include searching for or correlating with hamartoma tumor syndromes, especially PTEN gene-associated ones.
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