Male 83 years old Reason: left testicular or epididymal lesion RIGHT TESTIS: Right testis has normal homogeneous echogenicity and normal vascular flow.LEFT TESTIS: Left testis has normal homogeneous echogenicity and normal vascular flow. No intratesticular mass. Inferior to the left testicle but separate there is a round, heterogeneous soft tissue mass with internal calcifications and vascular flow.RIGHT EPIDIDYMIS: Right epididymis measures 1.1 x 1.1 x 0.9 cm. Small right renal cyst. Small right hydrocele. Varicocele with calcification seen on the right.LEFT EPIDIDYMIS: Left epididymis measures 1.8 x 1.1 x 0.8 cm. Left epididymis cyst measures 0.4 x 0.4 x 0.4 cm. Small left hydrocele.OTHER: No significant abnormalities noted.
Extratesticular heterogeneous soft tissue nodule inferior to the left testicle with calcifications and vascular flow has a nonspecific sonographic appearance. Although the majority of extra-testicular masses are benign, metastasis cannot be excluded.Findings discussed with ordering service at time of dictation.