EURORAD ESR

Case 12347

Testicular fibrosis secondary to leprous infection: Imaging findings and pathological correlation

Author(s)
Sally Emad-Eldin1, Omar Abdelaziz1, Mohamed Shokr2, Ibrahim M. Fahmy2, Sameh A.Z. Hanna1

(1) Department of Diagnostic and Intervention Radiology
(2) Department of Andrology
Cairo University Teaching Hospitals (Kasr Al-Ainy)
Cairo, Egypt
Email:sallyemad@hotmail.com
 
Patient
male, 25 year(s)
 
 
  • Figure 1
    Scrotal US

    US of the left tesits shows variable-sized hypoechoic lesions.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Defecography; Special Focus: Infection;
     
     
  • Figure 2
    MR images of the scrotum before and after IV contrast
     

    Bilateral scrotal lesions of low T1 signal intensity.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Coronal T2WI shows bilateral scrotal lesions of very low T2 signal intensity.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Post-contrast coronal T1WI reveals lack of contrast enhancement of these lesions.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    Histopathology specimen of the right testis
     

    Marked hylanosis of the basement membrane of the seminiferous tubules with complete sclerosis of some tubules. Few tubules showed Sertoli cells only with marked atrophic changes. Chronic inflammatory cell infiltration...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Marked hylanosis of the basement membrane of the seminiferous tubules with complete sclerosis of some tubules. Few tubules showed Sertoli cells only with marked atrophic changes. Chronic inflammatory cell infiltration...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
US of the left tesits shows variable-sized hypoechoic lesions.
 
Bilateral scrotal lesions of low T1 signal intensity.
 
Coronal T2WI shows bilateral scrotal lesions of very low T2 signal intensity.
 
Post-contrast coronal T1WI reveals lack of contrast enhancement of these lesions.
 
Marked hylanosis of the basement membrane of the seminiferous tubules with complete sclerosis of some tubules. Few tubules showed Sertoli cells only with marked atrophic changes. Chronic inflammatory cell infiltration of the intersitium with fibrosis.
 
Marked hylanosis of the basement membrane of the seminiferous tubules with complete sclerosis of some tubules. Few tubules showed Sertoli cells only with marked atrophic changes. Chronic inflammatory cell infiltration of the intersitium with fibrosis.
 
 
 
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