23-year-old male with dilated veins in left testicle. Rule out varicocele. The testicles are symmetric and normal in size, the right measuring 3 x 4.1 x 2 cm and the left measuring 2.9 x 3.7 x 2 cm. Testicular parenchyma is of normal homogeneous echogenicity bilaterally. Doppler exam shows unremarkable intratesticular arterial flow bilaterally.  The epididymal heads are normal in size, maximal diameter measuring 0.9 cm on the right and 1 cm on the left. Small bilateral epididymal head cysts are noted. Prominent veins are seen posterior to the left testicle measuring up to 0.4 cm in diameter that do not significantly increase with the Valsalva maneuver.
1. No acute testicular abnormality.2. Mild left varicocele.