50-year-old male presents for evaluation of a possible left hydrocele. RIGHT TESTIS: Measures 3.7 x 3.2 x 3.3 cm. Parenchyma has normal homogenous echogenicity without focal mass. Normal vascular flow without evidence of torsion.LEFT TESTIS: Measures 3.5 x 2.7 x 3.7 cm. Parenchymal has normal homogenous echogenicity without focal mass. Normal vascular flow without evidence of torsion.RIGHT EPIDIDYMIS: Measures 0.6 x 1.0 x 0.9 cm. No radiographic abnormalities.LEFT EPIDIDYMIS: Measures 0.6 x 0.6 x 1.4 cm. No radiographic abnormalitiesOTHER: Large amount of simple appearing fluid area the left testicle and enlarging the scrotum compatible with a hydrocele. Small anechoic area surrounding the right testicle suggestive of a hydrocele.
1. Large left-sided hydrocele and small right-sided hydrocele. No sonographic evidence of torsion, focal mass, or infection.