PMC4769756_01
Color-Doppler ultrasound image of the left testis shows an avascular echogenic lesion with hypoechoic center.
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Bilateral microlithiasis was also noted (Figure 1).
Follow-up color-Doppler ultrasound image shows interval enlargement of the testicular lesion.
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HCG, were negative. His pain continued, however, and follow-up ultrasound 6 days later showed a more conspicuous lesion with interval enlargement of the hypoechoic center of the mass (Figure 2).
Section shows a well-defined area of infarction surrounded by an area of fibrosis and tubular atrophy. Outlines of the tubules are remaining but loss of nuclear details and hemorrhagic with hemorrhagic interstitium. There is no significant inflammation or evidence of neoplasm.
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Pathology result showed segmental infarction of the left testis (Figure 3).