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Caption: Sagittal sonogram of the left testis.
Description: A parasagittal plane at the lateral margin of the left testis demonstrants an irregularly marginated hypoechoic lesion. A few bright echogenic foci are visualized within the hypoechoic area.
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Caption: Transverse sonogram of the left scrotum.
Description: In the midline two hypoechoic intratesticular lesions are seen. Both appear solid and mildly lobulated. The larger mass appears homogeneous,shows strongly enhanced sound transmission possibly suggesting a rapidly growing, highly cellular lesion.
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Caption: Transverse midline color Doppler image.
Description: Hypervascularity of the left testis becomes obvious in comparison to the normal right testis. The hypervascularity is mainly associated with the central lesion.
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Caption: Transverse sonogram of the left testis.
Description: More medially the mases are less well-seen and less distinctly marginated. Additional echogenic foci, including a large one that shadows, are seen scattered throughout the testicular parenchyma. A small hydrocele is demonstrated.
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Caption: Color Doppler of the left testis.
Description: The smaller of the two masses appears hypervascular as compared to the rest of the testicular parenchyma.
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