US in the sagittal and transverse planes of the right testes (a and c) and the left testis (b and d) reveal the right testes being only slightly larger than the left. The right measures 4.5 X 2.3 X 3.1 with a volume of 17 ccs, and the left measures 4.4 X 2 X 2.8cms with a volume of 13 ccs
Ashley Davidoff MD 1334022c
Normal Doppler
24 year old male
Ashley Davidoff MD 133661

133513.jpg

Normal testes 45M CT scan
Note epididymis on the right which is isodense with the testes. Also in this Plane the left testis is slightly larger than the right.
Ashley DAvidoff MD
133513

133615.jpg

Coronal T1 weighted sequence through the normal right testis which is dark on T1.  The left testis shows a mass in the center of the left testis with a rim that is slightly greater in intensity than the surrounding rim
Ashley Davidoff MD 133615
STIR sequence in the sagittal plane of the right testis shows the spermatic cord, as it fans out over the epididymis and testis
Ashley Davidoff MD 133531
T2 weighted sequence in the sagittal plane through the left testis in a patient with an infarcted seminoma, shows a prominent gonadal vein in the spermatic cord .
Ashley Davidoff MD 133630
T1 FS post gadolinium weighted sequence in the coronal plane through the right testis shows mild hyperintensity on the T1 post Gadolinium sequence.  The left testis has an infarcted seminoma, and shows a prominent gonadal vein in the left spermatic cord as it enters the cord and then becoming serpiginous in the distal portions of the cord.
Ashley Davidoff MD 133580L

 

Reduced Echogenicity

Infarction
US in the transverse plane through both testes shows, hypo echogenicity of the right testis and subsequent Doppler US showed reduced flow consistent with a diagnosis of acute torsion.
Ashley Davidoff MD 133760
Doppler US in the sagittal plane through the right testis shows reduced blood flow to the right testis consistent with the diagnosis of acute torsion. There is also reduced echogenicity of the testis
Ashley Davidoff MD 133762b

 

Heterogeneity

32375.jpg

50 M with US showing heterogeneous testis likely reflecting orchitis
Ashley Davidoff
50 M with US showing heterogeneous testis likely reflecting orchitis
Ashley Davidoff
70year old male presents with  pain in the right testis.  US in transverse projection shows  heterogeneity of the right testis and enlargement of the epididymis consistent with a diagnosis of epididymo orchitis
Ashley Davidoff MD 133197
Doppler US of the right testis shows significant hyperemia
Ashley Davidoff MD
133192