Rule out torsion. History of trauma to the left testicle as per the information relayed by the patient to the technologist. RIGHT TESTIS: Right testes measures 4.1 x 2.5 x 2.7 cm, with normal echotexture. No focal lesion noted.Normal Doppler evaluation of the vasculature noted without evidence of torsion.LEFT TESTIS: Left kidney measures 4 x 2.3 x 3.3 cm with normal echotexture. Irregular hypodense area identified within the testes approximately measuring 1.3 x 1.5 cm which could correspond to an intratesticular hematoma given the history. Few areas of testicular microlithiasis also noted.Normal Doppler evaluation of the vasculature noted without evidence of torsion.Also noted is an irregular hyperechoic collection which is extratesticular, within the scrotal sac measuring 2 x 1.4 cm which is suspicious for a extratesticular hematoma.RIGHT EPIDIDYMIS: Small right epididymal cyst identified measuring 3 x 4 mm. Normal size and morphology of the epididymis noted.LEFT EPIDIDYMIS: Normal size and morphology of the epididymis noted. No focal lesions noted.OTHER: No evidence of right-sided hydrocele. Small left-sided hydrocele
Findings suspicious for a left scrotal sac hematoma and possibly left intratesticular hematoma. No evidence of torsion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.