PMC7803169_01
Imaging and gross pathologic features of primary scrotal lipoma. (a) On a color Doppler image, the lesion lacks internal flow. (b) Coronal T2-weighted image of the scrotum shows a lesion with homogeneous high signal intensity. (c) Coronal contrast-enhanced T1-weighted MRI shows very low enhancement of the tumor. (d) Gross examination of the surgical specimen.
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fig1
The patient underwent scrotal ultrasonography (Figure 1(a)) to confirm the prima facie clinical diagnosis of hydrocele. Magnetic resonance imaging (MRI) showed a large extratesticular and extraepididymal mass with smooth margins and no intra-abdominal extension through the inguinal canal (Figures 1(b) and 1(c)). The lump appeared to be composed of fat, looked encapsulated, and was easily removed (Figure 1(d)).