Testicular tumour mimic on MRI
Large left hydrocele and heterogeneous echo pattern of the left testicle on ultrasound.
Loading Stack -
0 images remaining
MRI showed an apparent T2-hypointense, T1-isointense lesion with irregular borders at the mediastinum testis, that enhanced with gadolinium. The left epididymis was difficult to visualise, probably atrophic. Large left hydrocoele. The right scrotal contents appear normal.
Open incisional biopsy was performed. Histology showed marked stromal fibrosis and mild chronic non-specific inflammation. No malignancy.