86 year old male with left groin mass/testicular mass RIGHT TESTIS: Atrophic changes seen, testis measures 4.0 cm x 2.5 cm x 2.2 cm.LEFT TESTIS: Atrophic changes seen, testis measures 3.7 cm x 2.4 cm x 2.5 cm.RIGHT EPIDIDYMIS: Measures 3.3 cm x 1.0 cm x 1.0 cm and contains cyst measuring 5 mm x 5 mm x 6 mm. LEFT EPIDIDYMIS: Measures 3.8 cm x 0.8 cm x 1.0 cm and contains cyst measuring 4 mm x 3 mm x 13 mm. OTHER: Heterogeneous structure in the region of the reported lump in the left groin measuring 2.3 cm x 2.0 cm x 3.2 cm which does not change in size with Valsalva maneuver. There is no significant internal vascularity. Bilateral moderate hydroceles, more complex on the left.
1. Nonspecific heterogeneous structure in the left groin which does not change with Valsalva maneuver making inguinal hernia less likely. Correlation with patient's clinical history recommended and MRI may be obtained for further evaluation. 2. Bilateral atrophic testes with moderate hydroceles, more complex on the left. Bilateral epididymal cysts. 