Sonographic Appearances of Infection, Trauma, and Fluid Collections
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Questions and Answers

What is the sonographic appearance of epididymitis?

  • Enlarged epididymis with heterogeneous texture (correct)
  • Enlarged hypoechoic testis with decreased echogenicity
  • Irregular contour with focal alteration in echogenicity
  • Hypoechoic area within testis with blood flow
  • What is the sonographic appearance of focal orchitis?

  • Hypoechoic area within testis with blood flow (correct)
  • Enlarged hypoechoic testis with decreased echogenicity
  • Irregular contour with focal alteration in echogenicity
  • Enlarged epididymis with heterogeneous texture
  • What is the sonographic appearance of diffuse orchitis?

  • Hypoechoic area within testis with blood flow
  • Enlarged hypoechoic testis with decreased echogenicity (correct)
  • Irregular contour with focal alteration in echogenicity
  • Enlarged epididymis with heterogeneous texture
  • What is the sonographic appearance of a testicle rupture?

    <p>Irregular contour with focal alteration in echogenicity (D)</p> Signup and view all the answers

    What is the sonographic appearance of a hematoma?

    <p>Heterogeneous area that becomes hyperechoic as the blood clot ages and is avascular (D)</p> Signup and view all the answers

    What is the sonographic appearance of testicular torsion?

    <p>Gray scale image of the testis is normal for the first 4 hours, then enlarged and hypoechoic for 4-12 hours, then heterogeneous after 24 hours. There is absence of testicular flow. (C)</p> Signup and view all the answers

    What is the sonographic appearance of a hydrocele?

    <p>May be anechoic but often contains low level echoes and surrounds anterolateral aspect of testis (C)</p> Signup and view all the answers

    What is the sonographic appearance of a spermatocele?

    <p>Located in the head of the epididymis and may contain internal echoes or septations with smooth walls and posterior acoustic enhancement (C)</p> Signup and view all the answers

    What is the sonographic appearance of an epididymal cyst?

    <p>Located anywhere in the epididymis, usually small, anechoic, and cannot be differentiated from spermatocele on ultrasound with posterior acoustic enhancement (A)</p> Signup and view all the answers

    Flashcards

    Epididymitis

    Enlarged epididymis with heterogeneous texture; hypoechoic areas may be present; increased blood flow.

    Focal orchitis

    Hypoechoic area within the testis with blood flow observed.

    Diffuse orchitis

    Enlarged testis appearing entirely hypoechoic.

    Rupture

    Characterized by irregular contour and focal alteration in echogenicity.

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    Hematoma

    Heterogeneous area that becomes hyperechoic as it ages; avascular.

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    Torsion

    Normal testis appearance < 4 hours; enlarged and hypoechoic 4-12 hours; heterogeneous after 24 hours; absence of flow.

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    Hydrocele

    Fluid-filled sac that may be anechoic but often contains low-level echoes; surrounds the testis.

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    Spermatocele

    Located in the head of the epididymis; may contain echoes or septations; smooth walls and posterior acoustic enhancement.

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    Epididymal cyst

    Usually small and anechoic; often indistinguishable from spermatocele without ultrasound; has posterior acoustic enhancement.

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    Varicocele

    Tortuous, dilated veins that increase in size during Valsalva maneuver; color Doppler confirms venous flow.

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    Hematocele

    Contains low-level echoes; may have septations and loculations.

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    Study Notes

    Scrotal Infection, Trauma, and Fluid Collection Sonographic Appearances

    • Epididymitis: Enlarged epididymis, heterogeneous texture, hypoechoic, may contain hyperechoic areas, blood flow in the epididymis.

    • Focal Orchitis: Hypoechoic area within the testicle, blood flow in the testicle.

    • Diffuse Orchitis: Enlarged hypoechoic testicle, overall testicle echogenicity affected.

    • Rupture: Irregular contour, focal change in echogenicity.

    • Hematoma: Heterogeneous area, becomes hyperechoic as it ages, avascular.

    • Torsion:

    • Normal testicle appearance if duration < 4 hours

    • Enlarged and hypoechoic testicle if duration is 4-12 hours.

    • Heterogeneous testicle after 24 hours.

    • Absence of testicular blood flow.

    • Hydrocele: May be anechoic but often contains low-level echoes, surrounds the anterolateral aspect of the testicle.

    • Spermatocele: Located in the head of the epididymis, may contain internal echoes or septations, smooth walls, posterior acoustic enhancement.

    • Epididymal Cyst: Located anywhere in the epididymis, usually small and anechoic, ultrasound cannot differentiate from spermatocele, posterior acoustic enhancement.

    • Varicocele: Tortuous, dilated veins, increased size with Valsalva maneuver or standing, dilated veins fill with color on Valsalva maneuver, spectral Doppler confirms venous flow.

    • 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.

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