Indication: Right testicle pain and swelling
Epididymo-orchitis with testicular abscess
Asymmetrically increased Doppler flow in the right testis and right epididymis, consistent with epididymo-orchitis.
Circumscribed, heterogeneous, hypoechoic lesion with hyperechoic internal reflectors measuring 2.4 x 2.3 x 1.6 cm in the right testis with a hyperechoic rim and lack of internal Doppler flow, concerning for a testicular abscess. However, a necrotic testicular neoplasm, segmental testicular infarct, or granulomatous disease could have a similar imaging appearance. Recommend followup imaging after treatment to ensure expected evolution of findings and to exclude neoplasm.
Small reactive right hydrocele.