28-year-old male with testicular swelling. Given antibiotics one week ago with increased pain and swelling. RIGHT TESTIS: The right testis measures 4.3 x 3.4 x 2.4 cm. There demonstrable color and spectral Doppler flow. Normal parenchymal echotexture and vascularity. There is a moderate hydrocele.LEFT TESTIS: The left testis measures 4.0 x 3.5 x 3.2 cm. There demonstrable color and spectral Doppler flow. Normal parenchymal echotexture and vascularity. There is a small hydrocele with septations.RIGHT EPIDIDYMIS: The right epididymis is enlarged and demonstrates increased vascularity. The right epididymis measures 3.9 x 2.0 x 2.6 cm.LEFT EPIDIDYMIS: The left epididymis measures 4.0 x 2.6 cm. There is heterogeneity and the epididymis is mildly enlarged.OTHER: There is an ill-defined area of hypoechogenicity posterior to the left testicle corresponding to region of rim enhancing hypoattenuation.
1.Right epididymitis and right hydrocele.2.Complicated left hydrocele and probable epididymitis. Ill-defined area of hypoechogenicity posterior to the left testicle corresponding to a region of rim enhancing hypoattenuation on same-day CT. A phlegmon/abscess cannot be excluded.3.No evidence of torsion.