54-year-old history of hydrocele on the testicular ultrasound 6/2015 now with intraoperative finding of no hydrocele concerning for mass RIGHT TESTIS: Right testis is small in size and measures 2.9 x 1.2 x 2.2 cm. It appears uniformly hypoechoic with mild peripheral vascularity concerning for torsion. The testes also appears to have significant mass effect over the due to the adjacent large organizing hematoma which is mentioned in detail belowLEFT TESTIS: Left testis measures 3.6 x 1.3 x 2 cm. Hypoechoic with normal vascularity.RIGHT EPIDIDYMIS: Not well visualized due to the large organizing hematomaLEFT EPIDIDYMIS: Not well visualizedOTHER: Within the right scrotal sac previously described hydrocele is not visualized instead a large mixed echogenic complex mass is noted that measures 3.4 x 2.9 x 3.8 cm causing significant mass effect over the right testis pushing it medially and inferiorly. This most likely represents a chronic/organizing hematoma.Few pockets of fluid are noted superiorly along the inguinal canal
1. Large complex mass involving the right scrotal sac measuring up to 3.8 cm with significant mass effect over the right testis most likely representing a chronic/organizing hematoma. The right testes appears smaller in size with altered echotexture and decreased vascularity concerning for torsion.2. Heterogenous appearance of the left testis probably related to the chronic hematoma.