November 2018

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

Clinical Info

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
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
Another image of the same testis
Another image of the same testis
Another image of the same testis
Another image of the same testis
Another image of the same testis. Would you leave it this way and what would you do?
Another image of the same testis. Would you leave it this way and what would you do?
Always use the color doppler!!
Always use the color doppler!!
Another color doppler image. The lesion is highly vascularized so it can't be an infarct. So the patient was referred to the urologist who performed an orchidectomy. The lesions proved to be a malignant lymphoma
Another color doppler image. The lesion is highly vascularized so it can't be an infarct. So the patient was referred to the urologist who performed an orchidectomy. The lesions proved to be a malignant lymphoma
This is the testis of another patient with malignant lymphoma of the testis
This is the testis of another patient with malignant lymphoma of the testis
Again this lesion is highly vascularized
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
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.
Again the area is highly vascularized.
Another middle age male with a similar looking testis
Another middle age male with a similar looking testis
This proved to be a seminoma in a slightly older patient
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
This is a patient with a small infarct that doesn't show any flow
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

  • Hitachi Ultrasound System