SCROTAL

ULTRASOUND
 NORMAL
TESTICULAR US
NORMAL TESTICULAR US
 Color Doppler
examination may also
be performed to
evaluate testicular
blood flow in normal
and pathologic states
The mediastinum testis is
sometimes seen as
a linear echogenic band
extending craniocaudally
within the testis
MEDIASTINUM TESTIS
NORMAL RETE TESTIS
 SCROTAL MASS
Ultrasound of the scrotum can detect
intrascrotal masses with
a sensitivity of nearly 100%.
It plays a major role in the evaluating of
scrotal masses because of its accuracy
of 98% to 100% in differentiating intra
testicular and extratesticular pathology
 SCROTAL MASS
DECREASED CHANCE OF INCREASED CHANCE OF
NEOPLASM NEOPLASM
EXTRATESTICULAR INTRATESTICULAR

NON-PALPABLE PALPABLE

SIMPLE, CYSTIC APPEARANCE SOLID / COMPLEX CYSTIC

NO DETECTABLE DETECTABLE INTERNAL

VASCULARITY VASCULARITY
 Benign
Intratesticular
Lesions
 Most malignant testicular
neoplasms are more
hypoechoic than normal
testicular parenchyma,
however, hemorrhage,
necrosis, calcification, or
fatty changes can produce
areas of increased
echogenicity within these
tumors
TESTICULAR FIBROSIS
Epididymal
Lesions
Epididymitis and
Epididymo-
orchitis
ACUTE EPIDIDYMITIS
ACUTE EPIDIDYMITIS
 ACUTE
ORCHITIS
TUBERCULOSIS
TESTICULAR INFARCT AND
ABSCESS

M.JOSHI ( 2006)
Varicocele
VARICOCELE
 US Classification

Varicocele Relaxed During Valsalva

Normal 2.2 mm 2.7 mm

Small 2.5 - 4.0 Increase of 1.0 mm

Moderate 4.0 - 5.0 Increase of 1.2-1.5 mm

Large > 5.0 Increase of > 1.5

SCROTAL CALCIFICATION
Multiple Microlithiasis
!Normal testes
!Cryptorchial testes
!Klinefelter’s Syndrome
!Male pseudohemaphroditism
!Testicular Neoplasmas
Extratesticular
Pathology

Hydrocele,
Hematocele, and
Pyocele
EXTRA SCROTAL LESION
CRYPTORCHIDISM
The Acute
Scrotum

Torsion
HERNIA SCROTALIS
 CONCLUSION
Scrotal Ultrasound has
proven to be
an accurate means of
evaluating various
scrotal disease