Male; 70 years old. Reason: tender mass in upper part of left testicle, s/p AUS 1 week ago, not sure if fluid filled, if reservoir from surgery or solid mass History: tender mass in upper part of left testicle, s/p AUS 1 week ago, not sure if fluid filled, if reservoir from surgery or solid mass RIGHT TESTIS: Right testicle measures 2.8 x 4.6 x 2.4 cm. No intratesticular mass. Normal arterial and venous flow.LEFT TESTIS: Left testicle measures 3 x 4.3 x 2.1 cm. No intratesticular mass. Normal arterial and venous flow. No hyperemia to suggest orchitis.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: Increased size and vascularity of the left epididymis, suggestive of left epididymitis.OTHER: Reservoir is seen in the subcutaneous soft tissues of the left lower quadrant with tubing seen extending down the left inguinal canal and lateral to the left testicle within the scrotal soft tissues. In the patient's area of palpable abnormality near an incision in the left groin, there is an ill-defined area of heterogeneous echotexture and increased vascularity measuring up to 3.6 x 5 x 3.2 cm, which may represent cellulitis and phlegmonous change. No well-formed, drainable abscess is evident.Small left hydrocele.
1. Findings suggestive of left epididymitis without evidence of adjacent left orchitis.2. Findings suggestive of cellulitis and phlegmonous change in the patient's area of palpable concern near an incision in the left groin. No well-formed, drainable abscess is evident. Follow-up examination can be performed as clinically indicated.3. Left reservoir and tubing in expected location.