44-year-old male with right scrotal mass. RIGHT TESTIS: Normal in size, contour and echogenicity. Normal vascularity by color and spectral DopplerLEFT TESTIS: Left testicle is smaller than the right, and slightly hypoechoic and heterogeneous. There is a 2 mm focus of increased echogenicity in the left testicle without definite shadowing to suggest calcification. This could also represent an area of focal fibrosis. There is no associated mass identified.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: 5 mm cyst.OTHER: Superior to the right testicle in the region of palpable abnormality as described by the patientThere is a 1.5 cm ovoid, simple cyst consistent with spermatic cord cyst. Also is a small supratesticular varicocele.
Small and mildly hypoechoic left testicle. Patient provides history of nondistended testis. Focal internal echogenicity without appreciable mass effect could be related to calcification or scar.Cyst of the right spermatic cord with small varicocele.