Male; 39 years old. Reason: s/p orchiectomy for relapsed ALL on 3/2/15 with persistent severe pain of unclear cause. Exclude hematoma or other History: pain RIGHT TESTIS: 3.6 by 2.6 x 2.7 cm. Normal vascularity. Within the right testicle at the level of the previously seen hypoechoic lesion is a 1.5 x 1.6 x 2.1 cm hyperechoic focus with an internal hypoechoic portion. LEFT TESTIS: 4.2 x 2.2 x 2.6 cm. Normal echotexture and vascularity. The previously seen hypoechoic lesion is no longer identified. Dystrophic appearing calcifications redemonstrated.RIGHT EPIDIDYMIS: 5.9 x 2.6 x 4.4 cm and hypervascular.LEFT EPIDIDYMIS: 2.9 x 0.7 x 1.3 cm, normal in appearance.OTHER: Edema in the soft tissues of the right groin and in the area of the incision but no drainable fluid collection.Orchiopexy clips noted on the right.Small right and minimal left hydrocele.
Findings compatible with acute epididymitis on the right.Postsurgical changes in the right groin and testicle. Heterogeneous 1.6 cm hyperechoic focus with hypoechoic component in the testicle, entity most likely reflects a hematoma given patient's history, correlation with patient's procedural history recommended to confirm interval removal of entirety of previously seen focal hypoechoic lesion in right testicle, abscess is considered less likely as there is no evidence of increased vascularity.Interval resolution of hypoechoic left testicle lesion.Findings discussed with Dr Artz by telephone at 4:50 pm.