The right testis is enlarged and shows a loss of normal homogeneous echopattern. The right epididymis is also enlarged with altered echopattern. The right spermatic cord shows torsion with edema proximal and distal to it. Color Doppler examination shows twisted vessels in the right spermatic cord. There is a right peri-testicular flow; however, there is no intra-testicular flow. The right hemiscotum shows a mild reactive hydrocele. Left testis reveals normal size, contour, echopattern and vascularity. Left epididymis and left spermatic cord are normal.