Scrotum

A free gallery of high-resolution, ultrasound, color doppler and 3D images
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Acute scrotum
Scrotal infections

1) Epididymitis:

color doppler image of epididymitis      color doppler image shows increased vascularity

grey scale image of epididymitis    swollen epididymis

hyperemia of the epididymis

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This male patient complained of pain in the scrotum. B-mode ultrasound images reveal a swollen and edematous epididymis. The entire structure including the head, body and tail of the epididymis appear to be involved. Color doppler images confirm the presence of inflammation by the increased vascularity. Surprisingly, the testes itself appears to be spared. These ultrasound images are diagnostic of epididymitis. Images courtesy of Dr. Vikas Arora, Ferozepur, India.

2) Testicular microcalcification/ microlithiasis:

Cases-1:

sonography of the testes   ultrasound image of microlithiasis

Case- 2:

ultrasound image shows multiple calcific foci in testes   multiple calcifications in the testes

microlithiasis of testes sonography   ultrasound image shows testicular microcalcification

The above ultrasound images (from 2 different patients) show a) more than 5 calcific foci per ultrasound image of the testes b) sizes of the calcification is in the range 1 to 3mm. 3) bilateral involvement. These ultrasound images are diagnostic of testicular microlithiasis. Microlithiasis of testes is associated with higher incidence of intratubular germ cell neoplasia of testes and other tumors of this organ. Images courtesy of Dr. Ravi Kadasne (case 1) and Shlomo Gobi (case 2). 

Reference: 1) Free article on Testicular microlithiasis (AJR) (free article and images)- excellent

2) http://www.ispub.com/ostia/index.php?xmlFilePath=journals/iju/vol3n2/testicular.xml (free)

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3) Testicular mass- germ cell tumours- seminoma:

left testes microcalcifcation     right testicular mass

malignant mass right testes     right testes seminoma

ultrasound and color doppler images of seminoma     color doppler image shows increased vascularity in seminoma

sonography of testicular mass   

This young male adult patient had a swelling in the right testicle which was confirmed on palpation. Sonography of the testes revealed: 1) microcalcification in the otherwise normal left testes and also in the affected right testes. 2) A large mass (about 2 cms. in size) in the upper pole of right testes. Mass is markedly hypoechoic and inhomogenous with irregular, poorly defined margins. 3) On color doppler imaging, the mass shows increased vascularity and feeding vessels. These ultrasound images suggest a diagnosis of Germ cell tumour of the right testes, probably a seminoma. Ultrasound and color doppler images courtesy of Shlomo Gobi, Israel. The machine used here is an ATL- Philips HDI 3000.

Reference: 1) http://www.emedicine.com/Med/topic2250.htm  (free article)

2) testicular seminoma ultrasound : Danilo Sirigu, MD (images and video)

3) Unilateral testicular microlithiasis associated with a seminoma (free abstract). This article describes the significance of testicualr microlithiasis as an associated finding in testicular masses.

4) Hydrocele- B-mode grey scale and 3-D images:

 grey scale image of hydrocele    3-D ultrasound image of hydrocele

Hydrocele is the pathological collection of fluid within the tunica vaginalis of the scrotum. Here, the serous fluid collection is seen within the tunica vaginalis around the left testes. Observe the detail seen in the 3-D (or 3 dimensional) ultrasound image on the right side. 3-D ultrasound image of hydrocele, courtesy of      Dr. Ravi Kadasne, MD, UAE, who used a Philips IU 22 machine for it.

Reference: 1) http://drjoea.googlepages.com/gallery-testes (free article and images).

2) http://drjoea.googlepages.com/scrotum (free ultrasound images and articles).

 

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  This page was last edited on: Tuesday September 30, 2008 01:30 PM  

Copyright ©   2007- All rights reserved- www.ultrasound-images.com Dr. Joe Antony, MD,    265, Girinagar, Cochin- 20, India.

Contact: joe@ultrasound-images.com or drjoea (at) gmail.com