EURORAD ESR

Case 14036

Severe scrotal pain

Author(s)
Antunes, N.; Simões, M.; Santos, R.; Fernandes, O.; Figueiredo, L.

Hospital Santa Marta,
Centro Hospitalar Lisboa Central,
Departamento Radiologia;
Rua Santa Marta
1050 Lisboa, Portugal;
Email:nhantunes@hotmail.com
 
Patient
male, 66 year(s)
 
 
  • Figure 1
    Intra-testicular abscesses

    Scrotal ultrasound revealed an enlarged right testicle, with multiple round hypoechoic lesions, many with low level internal echoes, suggestive of intra-testicular abscesses.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 2
    Increased testicular vascularity

    Ultrasound-Power Doppler image demonstrated right testicular and scrotal tissue hyperemia, secondary to the inflammatory/infectious process.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 3
    Pyocele

    Scrotal pyocele around the right testicle: complex fluid collection with internal septae and loculations at US imaging.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 4
    Contralateral testicle

    Sagittal US image showing the homogeneous parenchyma of the contralateral (left) testicle.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
Scrotal ultrasound revealed an enlarged right testicle, with multiple round hypoechoic lesions, many with low level internal echoes, suggestive of intra-testicular abscesses.
 
Ultrasound-Power Doppler image demonstrated right testicular and scrotal tissue hyperemia, secondary to the inflammatory/infectious process.
 
Scrotal pyocele around the right testicle: complex fluid collection with internal septae and loculations at US imaging.
 
Sagittal US image showing the homogeneous parenchyma of the contralateral (left) testicle.
 
 
 
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