EURORAD ESR

Case 8954

Testicular lymphoma in HIV: ultrasound and MRI findings

Author(s)
Tonolini Massimo, MD.
Radiology Department, "Luigi Sacco" Hospital, Milan (Italy)
 
Patient
male, 35 year(s)
 
 
  • Figure 1
    Scrotal ultrasound
     

    Longitudinal US scan of the symptomatic right testis depicts large, lobulated hypoechoic lesion.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Neoplasia;

    Longitudinal US scans (b,c) of the left testis shows two smaller, sub-centimeter hypoechoic nodules.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Neoplasia;

    Longitudinal US scans (b,c) of the left testis shows two smaller, sub-centimeter hypoechoic nodules.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Special Focus: Neoplasia;
     
     
  • Figure 2
    Scrotal MRI - T2-weighted images
     

    T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;
     
     
  • Figure 3
    Scrotal MRI - Unenhanced and post-Gadolinium T1-weighted images
     

    On unenhanced T1-weighted axial images (a,b) both testes show homogeneous signal intensity.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    On unenhanced T1-weighted axial images (a,b) both testes show homogeneous signal intensity.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;

    After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: MR; Special Focus: Neoplasia;
     
     
  • Figure 4
    Abdominal contrast-enhanced CT
     

    Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Neoplasia;

    Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Neoplasia;

    Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Neoplasia;

    Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Neoplasia;
     
     
Longitudinal US scan of the symptomatic right testis depicts large, lobulated hypoechoic lesion.
 
Longitudinal US scans (b,c) of the left testis shows two smaller, sub-centimeter hypoechoic nodules.
 
Longitudinal US scans (b,c) of the left testis shows two smaller, sub-centimeter hypoechoic nodules.
 
T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.
 
T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.
 
T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.
 
T2-weighted images on coronal (a,b) and axial planes (c,d) confirm three hypointense testicular lesions, the largest on the right, two smaller ones on the left.
 
On unenhanced T1-weighted axial images (a,b) both testes show homogeneous signal intensity.
 
On unenhanced T1-weighted axial images (a,b) both testes show homogeneous signal intensity.
 
After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.
 
After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.
 
After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.
 
After iv Gadolinium, on fat-suppressed axial images (c,d), coronal oblique (e) and sagittal (f) reformations the larger right testis lesion and the tiny one on the left enhance strongly and uniformly.
 
Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.
 
Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.
 
Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.
 
Contrast-enhanced scans in the portal venous (a,b) and delayed (c,d) phases show hepatic and bilateral renal lymphomatous involvement with multiple hypovascular lesions.
 
 
 
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