Testicular microlithiasis

Case contributed by Ashesh Ishwarlal Ranchod
Diagnosis certain

Presentation

Incidental finding during work-up for a unilateral undescended testis.

Patient Data

Age: 8 years
Gender: Male
ultrasound

Ultrasound confirmed a unilateral, right, undescended testis within the inguinal canal.

The left testis is normally descended.

Bilateral testicular microlithiasis, with the comet tail artifact especially on the left.

Cine loop

ultrasound

The cine loop demonstrates the extensive left testicular microlithiasis and associated comet tail artifact.

Case Discussion

Diffuse testicular microlithiasis, left greater than the right. The right testis is further undescended.

The comet tail artifact is well appreciated in the cine loop.

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