November 2018

Wedge shaped lesion in the testis. Is this a testicular infarct?

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Clinical information

Middle age male patient with vague scrotal pain examined for SONOZORG a primary care ultrasound facility

Ultrasound Images & Clips

Abnormal testis in a middle age male

Wedge shaped lesion in the testis is this a testicular infarct yes or no

Another image of the same testis

Another image of the same testis. Would you leave it this way and what would you do?

Always use the color doppler!!

Another color doppler image. The lesion is highly vascularized so it can't be an infarct

This is the testis of another patient with malignant lymphoma of the testis

Again this lesion is highly vascularized

This is the testis of a similar looking case. This proved to be a chronic inflammation and not a lymphoma

Again the area is highly vascularized.

Another middle age male with a similar looking testis

This proved to be a seminoma in a slightly older patient

This is a patient with a small infarct

This is a patient with a small infarct that doesn't show any flow

Conclusion

The patient did not have testis infarcts but a malignant lymphoma of the testis

Details

Sex: Male

Created with

Fujifilm Ultrasound System

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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