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Caption: Transverse sonogram of the right scrotum.
Description: This scan shows an enlarged epididymis with a very heterogeneous appearance. A small hydrocele is also noted. The visualized testis appears normal.
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Caption: Right transverse sonogram.
Description: The epididymal head appears markedly enlarged and heterogeneously hypoechoic. A few anechoic areas are noted in the center. A right hydrocele is also noted.
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Caption: Transverse scan of the contralateral scrotum.
Description: Normal size and appearance of the testis and epididymis on the asymptomatic side is noted.
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Caption: Color Doppler view on the symptomatic side.
Description: Increased vascularity is noted in the right epididymal head with a central area of avascularity, corresponding to abscess formation. The adjacent right testis also shows hyperemia that may be related to reactive orchitis.
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Caption: Color Doppler view on the asymptomatic side.
Description: The left testis and epididymis demonstrate normal blood flow.
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