EURORAD ESR

Case 13255

Epididymal haematoma: multiparametric ultrasonographic findings.

Author(s)
Vasileios Rafailidis, Paul S. Sidhu

Department of Radiology, King’s College Hospital, London, United Kingdom. Email:billraf@hotmail.com
 
Patient
male, 18 year(s)
 
 
  • Figure 1
    Conventional ultrasonographic findings
     

    Long axis grey-scale image showing the circumscribed hypoechoic lesion with some internal echogenic septations and debris which was situated in the right paratesticular tissues.

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

    Colour Doppler technique revealed no vascularity within the lesion and only limited blood flow signals at its periphery.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    Multiparametric ultrasonographic findings
     

    Contrast-enhanced ultrasonographic image shows that there is no sign of vascularity within the lesion. There is mildly increased vascularity at the periphery of the lesion.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Contrast agent-intravenous; Special Focus: Trauma;

    A more delayed image confirms the complete absence of perfusion within the lesion along with the presence of increased vascularity at its periphery.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Contrast agent-intravenous; Special Focus: Trauma;

    Colour-coded elastographic image shows the lesion to be predominantly homogeneously soft except for the part where multiple colours can be seen. (Blue colour represents soft and red colour represents hard tissue).

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Elastography; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
Long axis grey-scale image showing the circumscribed hypoechoic lesion with some internal echogenic septations and debris which was situated in the right paratesticular tissues.
 
Colour Doppler technique revealed no vascularity within the lesion and only limited blood flow signals at its periphery.
 
Contrast-enhanced ultrasonographic image shows that there is no sign of vascularity within the lesion. There is mildly increased vascularity at the periphery of the lesion.
 
A more delayed image confirms the complete absence of perfusion within the lesion along with the presence of increased vascularity at its periphery.
 
Colour-coded elastographic image shows the lesion to be predominantly homogeneously soft except for the part where multiple colours can be seen. (Blue colour represents soft and red colour represents hard tissue).
 
 
 
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