Testicular abscess. A 18-year-old male with known neurogenic bladder due to myelomeningocele presenting with high fever, right testicular swelling, and severe scrotal pain. Color Doppler US image shows heterogeneous, hypoechoic lesion (arrows) with no significant internal vascularity. Note was also made of scrotal skin thickening and edema. As the patient was almost septic, an emergent right orchiectomy was performed. Histopathological examination confirmed severe testicular inflammation and abscess formation