From the case: Testicular contusions
Enlarged right testicle with heterogenous echotexture. There are multiple ill defined hypoechoic patchy areas within the right testis. This could represent testicular contusion. There is loss of continues echogenic lining of the tunic albugenia adjacent to hypoechoic areas which is highly suspicious for testicular rupture. On colour doppler there is loss of vascularity in these hypoechoic areas. Soft tissue swelling is also present around the penis. Homogenous echotexture of left testicle.