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Published online before print February 28, 2003, 10.1148/radiol.2271001744

(Radiology 2003;227:18.)

A more recent version of this article appeared on April 1, 2003
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© RSNA, 2003

Review

Sonography of the Scrotum1

Vikram S. Dogra, MD, Ronald H. Gottlieb, MD, Mayumi Oka, MD and Deborah J. Rubens, MD

1 From the Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH 44106 (V.S.D.); and Department of Radiology, University of Rochester Medical Center, Rochester, NY (R.H.G., M.O., D.J.R.). Received November 1, 2000; revision requested December 22; final revision received February 13, 2002; accepted March 14. Address correspondence to V.S.D. (e-mail: dogra@uhrad.com).

Ultrasonography (US) with a high-frequency (7.5–10-MHz) transducer has become the imaging modality of choice for examination of the scrotum. US examination can provide information valuable for the differential diagnosis of a variety of disease processes involving the scrotum that have similar clinical manifestations (eg, pain, swelling, or presence of mass). The pathologic condition that may be at the origin of such symptoms can vary from testicular torsion to infection to malignancy. The ability of color and power Doppler US to demonstrate testicular perfusion aids in reaching a specific diagnosis in patients with acute scrotal pain. This review covers the anatomy of the scrotum and the scanning protocol for scrotal US, as well as detailed descriptions of disease processes and their US appearances. Newly described conditions such as intratesticular varicoceles and other benign intratesticular cystic lesions are also discussed.

© RSNA, 2003

Index terms: Orchitis, 847.201, 847.202, 847.206 • Testis, abnormalities, 847.1472, 847.1477 • Testis, cysts, 847.311 • Testis, neoplasms, 847.31, 847.32 • Testis, torsion, 847.143 • Testis, undescended, 847.1477 • Testis, US, 847.12981, 847.12983, 847.12984 • Review




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