32-year-old male with a history of bilateral varicoceles. RIGHT TESTIS: The right testicle measures 4.4 x 3.0 x 2.0 cm, previously 4.8 x 3.2 x 2.0 cm. Homogeneous echotexture without discrete lesion identified. Testicular microlithiasis is better appreciated on the prior ultrasound examination. Vasculature is patent.LEFT TESTIS: The left testicle measures 4.7 x 2.8 x 2.2 cm, previously 5.3 x 2.6 x 2.3 cm. Homogeneous echotexture without discrete lesion identified. Testicular microlithiasis is again noted. Vasculature is patent.RIGHT EPIDIDYMIS: The right epididymis measures 1.0 x 0.8 x 0.7 cm and is normal in echotexture.LEFT EPIDIDYMIS: Left epididymis measures 1.1 x 0.7 x 0.8 cm and is normal in echotexture.OTHER: Bilateral varicoceles, appearing similar to the prior examination.
1. Bilateral varicoceles, not significantly changed from the prior examination.2. Bilateral microlithiasis. Continued surveillance is suggested.