Testicular microlithiasis

Case contributed by Dr Ganesh Sanap


Infertility work-up.

Patient Data

Age: 30
Gender: Male

Ultrasound of testis showing tiny specks of calcification without shadowing.

Case Discussion

Testicular microlithiasis is condition seen bilaterally with tiny specks of calcification typically not showing post-acoustic shadowing. "Starry sky" appearance is best to described the condition.

Its association with germ cell tumors is contentious but it is also associated with infertility.

One grading system used on ultrasound isL

  • grade I: less than 10 microcalcifications
  • grade II: 10 to 20 microcalcifications
  • grade III: more than 20 microcalcifications


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Case information

rID: 46311
Published: 1st Jul 2016
Last edited: 30th May 2017
System: Urogenital
Inclusion in quiz mode: Included

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