36-year-old male. Patient with left testicular pain. Evaluate for torsion. RIGHT TESTIS: Normal echogenicity. No focal mass. 4.2 x 2.4 x 3.1 cm.LEFT TESTIS: Normal echogenicity. Small 2 mm hypoechoic focus in the central testicle which fills completely with flow on color Doppler images is likely a vessel. No suspicious testicular mass. 3.8 x 2.2 x 2.9 cm.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: Mild asymmetrically increased vascularity to the left epididymis raises the possibility of epididymitis.OTHER: Symmetric color Doppler flow and normal arterial waveforms of both testicular speaks against torsion.
No evidence of testicular torsion. Mild hyperemia to the left epididymis, raises possibility of mild epididymitis.