Ten-year-old boy presented to the emergency department for testicular pain of four hours' duration. He reported that, although previously well, he began to experience progressive discomfort in the left testicle. He reported no fever, previous trauma or micturition syndrome. He had no family or personal history of interest.
Clinical examination was normal, except for the left testicle, which showed a slight increase in size, erythematous and uncomfortable on palpation, but with relief of pain with testicular ascent. The cremasteric reflex was present. Both testicles were palpated in a normal position, normal shape, with no skin lesions.
In view of the acute scrotal pain, testicular Doppler ultrasound was requested to complete the study, and images compatible with left epididymitis were observed, ruling out testicular torsion. As a chance finding, a 1.5 mm image of right intratesticular calcification was observed.

Analgesia measures were prescribed and recommendations were made to minimise discomfort (scrotal elevation and rest), explaining the warning signs for further consultation. The patient progressed favourably.
Given the image of intratesticular calcification, he was referred to paediatrics for follow-up.
In the first two years of follow-up the patient has remained asymptomatic and no changes have been observed in the number or distribution of testicular microcalcifications, nor have changes been reported in the echogenicity of the testicular parenchyma. We will continue to carry out periodic clinical and ultrasound check-ups to assess his evolution.
