Testicular microlithiasis is the bilateral deposition of multiple tiny non-shadowing calcifications in the testes, more than five in the scan field. It is usually an asymptomatic condition and found incidentally. The European Society of Urogenital Radiology (ESUR) advises annual ultrasound follow-up until the age of 55 years if it is coupled with other risk factors for testicular cancer as maldescended testis, testicular atrophy, history of germ cell tumor and orchidopexy ¹.

Idiopathic scrotal calcinosis is a rare condition where multiple nodules are seen at the scrotal wall with hyperechoic shadowing content with the presence of calcific foci. The diagnosis can be confirmed by the presence of calcifications on radiography. It is usually asymptomatic, surgery may be required for cosmetic purposes ².