Adrenal inclusions within testes are great mimics of testicular tumors.
However, helpful clues that may help to be confident in adrenal rests are:
- known history of congenital adrenal hyperplasia
- bilateral and confluent nodules
- next to testicular hilum
- round borders, attenuating echoes
- no calcifications, non-hypervascular on color Doppler
It is worth noting that MRI, in this case, has no proven diagnostic value. US remains the gold standard.