SONOWORLD : Benign testicular calcification

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Pelvis » Scrotum And Testicles

Benign testicular calcification

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Author(s) :

P.K. Srivastava, MD

Presentation A 30 year old man presents for infertility evaluation. A scrotal ultrasound was performed.

Caption: Transverse view of the left testis

Description: Discrete, chunky, highly echogenic foci are seen in the left testicular parenchyma. No other focal lesion or distortion of architecture is noted.

Caption: Transverse view of the left testis

Description: The echogenic foci are noted again in close proximity to the mediastinum testis. A vessel is seen coursing the length of the mediastinum testis, which possibly represents the transmediastinal branch of the testicular artery.

Caption: Transverse color Doppler scan

Description: The transmediastinal arterial branch of the testicular artery is seen coursing the testis. No other abnormality is noted.

Differential Diagnosis Benign testicular calcification

Final Diagnosis Amorphous benign testicular calcification possibly due to some old infection or old trauma

Case References 1. Dogra V, Gottlieb R, Oka M, Rubens D. Sonography of the scrotum. Radiology. 2003; 227: 18-36.