case_images: PMC2892650_01
case_images: 26-year-old patient presented with painless swelling in the right scrotum. (a) Grey Scale Ultrasound of Scrotum showing multiple small ill defined and randomly distributed echogenic foci within the testicular substances (white arrowheads). (b) Colour Doppler showing normal vascularity of testis. However, the lesions are typically avascular.
case_images: CRM2010-135029.001.jpg
case_images: PMC2892650_01_CRM2010-135029.001.jpg
case_images: fig1
case_images: Ultrasound showed multiple small ill-defined avascular echogenic foci in both testicular substances (Figures 1(a) and 1(b)), quite distinct from those seen in testicular microlithiasis (Figure 2).
case_images: Grey scale transcrotal axial ultrasound of another patient with testicular microlithiasis. Note the multiple tiny densely echogenic, punctate and well-defined lesions (white arrowheads) easily distinguishable from those in testicular hamartomas in Figure 1.
case_images: CRM2010-135029.002.jpg
case_images: PMC2892650_01_CRM2010-135029.002.jpg
case_images: fig2
case_images: Ultrasound showed multiple small ill-defined avascular echogenic foci in both testicular substances (Figures 1(a) and 1(b)), quite distinct from those seen in testicular microlithiasis (Figure 2).
case_images: (a) (transverse), (b) (longitudinal) Grey-scale ultrasound images showing hypoechoic roundish mass (1.5 x 1.5 x 1.8 cm) in the tail of the right epididymis (white arrows). Note. The moderate vascularity on Power Doppler (c) (transverse), (d) (longitudinal) ultrasound (white curved arrows).
case_images: CRM2010-135029.003.jpg
case_images: PMC2892650_01_CRM2010-135029.003.jpg
case_images: fig3
case_images: In addition, a hypoechoic lesion measuring (1.5 x 1.5 x 1.8 cm) was identified in the tail of the right epididymis (Figures 3(a) and 3(b)). Moderate vascularity was demonstrable on power Doppler (Figures 3(c) and 3(d)).