Testicular multifocal seminoma
Gradual, painless testicular swelling.
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The scrotum and tunicae appear preserved. Tiny scrotolith on the right.
The right testis is of normal size and echotexture. Normal arterial flow.
The left testis is mildly enlarged by several hypoechoic structures (at least three), the largest of which measures 15 x 21 mm. Arterial flow is mildly increased.
Several hypoechoic masses in the left testicle, most probably a primary tumor (multifocal seminoma).
The testis was removed but no pathology report is available.