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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 CASES OF THE DAY Diagnosis Incomplete Testicular Torsion Progressing to Complete Torsion Christopher A. DeMauro, MD and Mindy M. Horrow, MD, FACR Clinical History A 46-year-old man with acute right scrotal pain and swelling. A scrotal ultrasound was requested by the emergency department (Figs. 1Y3). RADIOLOGIST’S INTERPRETATION OF SONOGRAPHIC FINDINGS The findings of an enlarged, heterogeneous right epididymis, a normal right testis with color and pulsed Doppler flow, right hydrocele, and scrotal wall edema indicate a diagnosis of acute right epididymitis. What is your interpretation? FIGURE 1. A and B, Comparison of color Doppler imaging FIGURE 2. A and B, Comparison of pulsed Doppler of right and left testes. imaging of right and left testes. FIGURE 3. Grayscale and color Doppler imaging of the extratesticular, intrascrotal structure labeled right epididymis. Received for publication March 21, 2008; accepted March 28, 2008. Department of Radiology, Albert Einstein Medical Center, Philadelphia, PA. Reprints: Mindy M. Horrow, MD, FACR, Department of Radiology, Albert Einstein Medical Center, 5501 Old York Rd, Philadelphia, PA 19141-3098 (e-mail: horrowm@einstein.edu). Copyright * 2008 by Lippincott Williams & Wilkins Ultrasound Quarterly & Volume 24, Number 2, June 2008 121 Copyright @ 2008
Ultrasound quarterly – Wolters Kluwer Health
Published: Jun 1, 2008
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