57-year-old male evaluated for epididymal masses with possible paraneoplastic polyneuropathy. RIGHT TESTIS: The right testicle measures 2.4 cm x 2.5 cm x 3.9 cm. The testicle is homogenous and no masses seen within the right testicle. Small hydrocele is seen on the right. Doppler flow is present and symmetrical throughout.LEFT TESTIS: The left testicle measures 3 cm x 2 cm x 4 cm. The testicles homogenous and no masses are seen. There is a small hydrocele. Doppler flow is present and symmetrical throughout.RIGHT EPIDIDYMIS: The right epididymis measures 1.3 cm x 1.5 cm x 1.8 cm. There is a hypoechoic area posterior to the epididymis measuring 1.1 cm x 1.0 cm x 1.5 cm.LEFT EPIDIDYMIS: The left epididymis measures 2.5 cm x 1.5 cm x 2.4 cm. There are multiple hypoechoic round lesions within the left epididymis. The largest measures 1.8 cm x 2.2 cm x 1.7 cm.
1. Bilaterally the testicles appear normal with no masses seen and symmetrical blood flow.2. Bilaterally hypoechoic areas within the epididymis likely represent epididymal cysts or spermatoceles.3. Small hydrocele seen bilaterally.