PMC5053201_01
Clinical photograph of the patient showing bilaterally enlarged, tense, and noninflamed scrotal sacs at the time of diagnosis. USG of the scrotum confirmed the presence of bilateral hydrocele.
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Genital examination revealed bilateral tense, nontender, and transilluminant scrotal swellings (Fig. 1).
A panel of microphotographs showing blasts with macrophages seen in lower three images of the panel from hydrocele aspirated fluid in a known case of leukemia (May Grunwald Giemsa (MGG) x 100 x).
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Fluid was straw colored on gross examination, and cytopathological analysis of the cytospin smears revealed presence of large a typical cells with opened chromatin and prominent nucleoli consistent with lymphoblasts (Fig. 2).