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Questions and Answers
What is the sonographic appearance of epididymitis?
What is the sonographic appearance of epididymitis?
What is the sonographic appearance of focal orchitis?
What is the sonographic appearance of focal orchitis?
What is the sonographic appearance of diffuse orchitis?
What is the sonographic appearance of diffuse orchitis?
What is the sonographic appearance of a testicle rupture?
What is the sonographic appearance of a testicle rupture?
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What is the sonographic appearance of a hematoma?
What is the sonographic appearance of a hematoma?
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What is the sonographic appearance of testicular torsion?
What is the sonographic appearance of testicular torsion?
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What is the sonographic appearance of a hydrocele?
What is the sonographic appearance of a hydrocele?
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What is the sonographic appearance of a spermatocele?
What is the sonographic appearance of a spermatocele?
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What is the sonographic appearance of an epididymal cyst?
What is the sonographic appearance of an epididymal cyst?
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Flashcards
Epididymitis
Epididymitis
Enlarged epididymis with heterogeneous texture; hypoechoic areas may be present; increased blood flow.
Focal orchitis
Focal orchitis
Hypoechoic area within the testis with blood flow observed.
Diffuse orchitis
Diffuse orchitis
Enlarged testis appearing entirely hypoechoic.
Rupture
Rupture
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Hematoma
Hematoma
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Torsion
Torsion
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Hydrocele
Hydrocele
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Spermatocele
Spermatocele
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Epididymal cyst
Epididymal cyst
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Varicocele
Varicocele
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Hematocele
Hematocele
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Study Notes
Scrotal Infection, Trauma, and Fluid Collection Sonographic Appearances
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Epididymitis: Enlarged epididymis, heterogeneous texture, hypoechoic, may contain hyperechoic areas, blood flow in the epididymis.
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Focal Orchitis: Hypoechoic area within the testicle, blood flow in the testicle.
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Diffuse Orchitis: Enlarged hypoechoic testicle, overall testicle echogenicity affected.
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Rupture: Irregular contour, focal change in echogenicity.
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Hematoma: Heterogeneous area, becomes hyperechoic as it ages, avascular.
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Torsion:
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Normal testicle appearance if duration < 4 hours
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Enlarged and hypoechoic testicle if duration is 4-12 hours.
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Heterogeneous testicle after 24 hours.
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Absence of testicular blood flow.
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Hydrocele: May be anechoic but often contains low-level echoes, surrounds the anterolateral aspect of the testicle.
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Spermatocele: Located in the head of the epididymis, may contain internal echoes or septations, smooth walls, posterior acoustic enhancement.
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Epididymal Cyst: Located anywhere in the epididymis, usually small and anechoic, ultrasound cannot differentiate from spermatocele, posterior acoustic enhancement.
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Varicocele: Tortuous, dilated veins, increased size with Valsalva maneuver or standing, dilated veins fill with color on Valsalva maneuver, spectral Doppler confirms venous flow.
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Hematocele: Contains low-level echoes, may contain septations and loculations.
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Description
Explore the sonographic characteristics of various scrotal conditions including epididymitis, orchitis, and torsion. Understand the imaging distinctions between normal and abnormal findings, including hematomas and hydroceles. This quiz is essential for students in medical imaging and sonography courses.