Male; 40 years old. Reason: enlarging, reportedly tender left testicular lump. Evaluate further History: palpable left testicular lump RIGHT TESTIS: 3.0 x 2.1 x 4.4 cm. Normal echotexture and vascularity. No intratesticular mass evident.LEFT TESTIS: 3.3 x 2.3 x 4.5 cm. Normal echotexture and vascularity. No intratesticular mass evident.RIGHT EPIDIDYMIS: 1.3 x 1.3 x 1.3 cm. Normal ultrasound appearance.LEFT EPIDIDYMIS: 1.2 x 1.1 x 1.7 cm. Normal ultrasound appearance.OTHER: There is a collection of dilated vessels with increased flow during Valsalva underlying the area of the patient's palpated abnormality. This finding is seen bilaterally. Small bilateral hydroceles.
Bilateral varicoceles and small hydroceles. No intratesticular mass is evident.