Scrotum echo

Ultrasound Quarterly 2004;20:181-200

Seminoma

Most commonMost well marginatedMost hypoechoiecNo cyst or calcifications

Microlithiasis was thought to

Be related to SEMINOMAIn the patient,There is no obvious mass or hypoechoiec lesion in the echo

Embryonal cell carcinoma

InhomogenousPoorly marginatedCystic lesions

>>check lab

teratoma

Most teratoma + embryonal carcinomaWell defined but heterogenous textureCyst: +, calcifications:+

Benign testicular condition

Cyst of tunica albugineaMaybe in the testis or extra-

testis, almost less than 2cm

Maybe multifocal

Tubular ectasiaof the rete testis>>

Multiple dilated tubular structure in the mediastinum testis

No flow

Testicular abscess:Combined with UTIComplications of torsion, testicular hemorrhage, secondary to trauma

Clinical finding:Fever and leukocytosis

torsion

• In the first 6 hrs, testis would become heterogenous hypoechoiec echo pattern

• Nuclear flow was used but not clinical used in some hospital.

Testicular microlithiasis

Testis microlithiasis

• If the calcifications more than 5 spots and measure 1-2mm per spots, microlithiasis is impressed.

• Testis microlithiasis is related to the testis malignancy

Epididymitis/epididymo-orchitis

Chronic epididymo-orchitis

• Chronic epididymitis result from acute incomplete treatment or tuberculosis

• Coarse calcifications and thickening of the tunica albuginea was noted

Spermatocele

Sperm fluid accumulation:Sometimes occur especially in the post vasectomy syndrome

hydrocele

Scrotum and peritoneum persistent communication

Processus vaginalis:Resolved by 1.5 years

Dilated, tortuous vein in the pampiniformplexus near the spermatic cords

>>Imcomplete valves were noted

Dilated vessels and reflux of flow were noted

VARICOCELE

SCROTAL HERNIA