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Clinical Features:

A 63-year-old male patient came with right hemiscrotal painful swelling.


Ultrasound Features:

- Swollen & hypoechoic right testis & epididymis with increased vascularity on Doppler.

- Right sided mild hydrocele.


Remember:

Any focal heterogeneous area in a case of acute epididymo-orchitis should be assessed carefully with Doppler to exclude abscess.


Ultrasound Diagnosis:

Right sided acute epididymo-orchitis with reactionary hydrocele.


Ultrasound Images:









Right sided acute epididymo-orchitis with reactionary hydrocele






Right testis & epididymis on 3D images


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