ABSTRACT
Incorrect Measurements ■ Failure to find the true long and short axes of the testes will result in incorrect and asymmetrical sizes.
Comparison of Both Testes ■ Comparison of the ultrasound texture and vascularity of the presumed normal testis with the testis of clinical concern is important. This comparison is especially important in certain circumstances. For instance, in disease processes that diffusely affect the testis, such as inflammation, or infiltrative processes, such as leukemia, the alteration of echotexture and blood flow may be so subtle that unless comparison is
TABLE 1 ■ Indications for Scrotal Ultrasound
Pain: trauma, inflammation, torsion Mass: testicular, extratesticular Evaluation of a possible hernia and its contents Search for occult neoplasm in cases of retroperitoneal or mediastinal lymphadenopathy Follow-up of previous infections, tumors, lymphoma, leukemia Small testes, atrophy Location of undescended testes Infertility Precocious puberty or feminization
FIGURE 1 A AND B ■ Normal adult testis (calipers). (A) Longitudinal view. (B) Axial view.
