Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
10 topics, 28 min.
12 topics, 28 min.
Wk 2, Case 1 - Practice
Wk 2, Case 1 - Review
4 m.Wk 2, Case 2 - Practice
Wk 2, Case 2 - Review
7 m.Wk 2, Case 3 - Practice
Wk 2, Case 3 - Review
8 m.Wk 2, Case 3 - Supplemental Case
Wk 2, Case 4 - Practice
Wk 2, Case 4 - Review
7 m.Wk 2, Case 5 - Practice
Wk 2, Case 5 - Review
6 m.Wk 2, Case 5 - Supplemental Case
13 topics, 21 min.
Wk 3, Case 1 - Practice
Wk 3, Case 1 - Review
6 m.Wk 3, Case 1 - Supplemental Case
Wk 3, Case 2 - Practice
Wk 3, Case 2 - Review
4 m.Wk 3, Case 2 - Supplemental Case
Wk 3, Case 3 - Practice
Wk 3, Case 3 - Review
6 m.Wk 3, Case 4 - Practice
Wk 3, Case 4 - Review
4 m.Wk 3, Case 4 - Supplemental Case
Wk 3, Case 5 - Practice
Wk 3, Case 5 - Review
5 m.11 topics, 16 min.
11 topics, 19 min.
Interactive Transcript
Report
EXAM: US Testicular W/Doppler
INDICATION: 13-year-old male with acute right testicular pain, swelling, and tenderness
TECHNIQUE: Ultrasound imaging of the scrotum and testicles was obtained using two-dimensional grayscale imaging. Color Doppler images were obtained to evaluate vascular flow. Spectral Doppler images were obtained to evaluate quantitative vascular data.
FINDINGS:
The right testicle and right epididymis are enlarged, and the testicle measures 4.2 x 2.4 x 2.9 cm for a total volume of 15 mL. The echogenicity of the right testicular parenchyma is without focal lesion. There is twisting of the spermatic cord in the canal, consistent with a “snail sign.” There is no color Doppler or spectral Doppler flow visualized within the right testicle. A moderate anechoic right hydrocele is present.
The left testicle measures 3.7 x 1.8 x 2.5 cm for a total volume of 9 mL. The testicle is normal in size, contour, and echogenicity. There is no appreciated mass. There is normal symmetric flow to the testicle.
No significant hydrocele or varicocele.
IMPRESSIONS:
1. Right testicular edema and enlargement with twisting of the spermatic cord, compatible with torsion. No Doppler flow. Moderate simple-appearing reactive right hydrocele.
2. Normal left testicle.
Case Discussion
Faculty
Brandon P Brown, MD, MA, FAAP
Director of Fetal and Perinatal Imaging
Indiana University School of Medicine
Tags
Ultrasound
Testicles
Pediatrics
Nuclear Medicine
Genitourinary (GU)
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