31-year-old male with right scrotal mass and tender testes. RIGHT TESTIS: Normal in size, contour, architecture and vascularityLEFT TESTIS: Normal in size, contour and vascularity. In the lower pole of the left testicle there is a cluster of calcifications, measuring 3-4 mm in aggregate diameter. There is no definite associated mass. RIGHT EPIDIDYMIS: There is a 1.2 x 1.4 x 1.6 cm cyst arising from the right epididymal head.LEFT EPIDIDYMIS: There is a 3 mm cyst in the left epididymal head as well as a cystic epididymal appendix.OTHER: No significant abnormalities noted.
1. Palpable abnormality corresponds to right epididymal head cyst.2. Small left epididymal head cyst.3. Cluster of calcifications in the lower pole of the left testes without definite associated mass. If there is no corresponding palpable abnormality, this is likely benign but could be followed up in 6 months