PMC5554693_01
PMC5554693_02
Scrotal ultrasound shows mixed solid and multilocular cystic mass, containing cysts of varying echogenicties
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The cysts vary in appearance from anechoic to echogenic (Figure 1).
Sagittal T2- weighted MRI of the scrotum shows large intratesticular multilocular complex cystic lesion. Some of the cysts showed fluid fluid levels. The remaining testicular tissue appears of heterogeneous hyperintense signal with mild surrounding hydrocele
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The lesion showed hypointense signal on T1 weighted images and hyperintense signal on T2 weighted images (Figure 2) with a part of high signal on both T1 and T2 images at its superolateral aspect in keeping with a hemorrhagic component.
Coronal T1 post contrast images shows heterogenous enhancement of the remaining peripherally displaces testicular tissue. And a cyst that showed hyper intense signal on both T1 pre contrast and T2, in keeping with a hemorrhagic cyst(star) at the superolateral aspect of the mass
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Post contrast images also showed heterogeneous enhancement of the remaining testicular tissue at its peripheral inferior part (Figure 3).
Gross specimen of the testicular tumor after removal from the patient
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Instead, he underwent trans-inguinal and trans-scrotal orchiectomy (Figure 4).