78-year-old male with tender left testicular mass, leukocytosis, fever, pyuria and hematuria. Evaluate left testicular mass. RIGHT TESTIS: Measures 3.6 cm x 2.1 cm x 2.0 cm and is normal in echogenicity. Right testicular cyst measures 3 mm x 3 mm x 3 mm. Arterial and venous flow is visualized on Doppler exam. LEFT TESTIS: Measures 3.5 cm x 2.4 cm x 2.8 cm and is normal in echogenicity. Arterial and venous flow was visualized on Doppler exam.RIGHT EPIDIDYMIS: Measures 1.9 cm x 1.4 cm x 2.3 cm and contains several cysts, the largest of which is in the epididymal head measuring 1.8 cm x 0.9 cm x 1.5 cm. Appropriate flow is visualized on Doppler exam. LEFT EPIDIDYMIS: Enlarged measuring 1.9 cm x 1.8 cm x 3.5 cm and is heterogeneous in echotexture and hyperemic. Extending from the left epididymis is a the complex cystic structure measuring 5.7 cm x 2.5 cm x 2.8 cm with peripheral vascularity.OTHER: Moderate left hydrocele.
1. Findings compatible with acute left epididymitis with associated abscess. Moderate left hydrocele. 2. Right testicular and epididymal cysts. 