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British Journal of Radiology (2008) 81, e166-e169
© 2008 British Institute of Radiology
doi: 10.1259/bjr/16348966
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Case report

Tuberculous epididymo-orchitis: MRI findings

A C TSILI, MD 1 C TSAMPOULAS, MD 1 D GIANNAKIS, MD 2 M PAPASTEFANAKI, MD 2 I TSIRIOPOULOS, MD 2 N SOFIKITIS, MD 2 and S C EFREMIDIS, MD 1

Departments of 1 Clinical Radiology and 2 Urology, University Hospital of Ioannina, Leoforos S. Niarchou, 45500, Ioannina, Greece

Correspondence: A C Tsili, MD, Department of Clinical Radiology, University Hospital of Ioannina, 45500, Ioannina, Greece. E-mail: a_tsili{at}yahoo.gr

A 70-year-old man presented with fever, left flank pain and scrotal enlargement. CT scan of the thorax and abdomen revealed findings compatible with pulmonary and kidney tuberculous involvement. Sonographic and MRI examination of the scrotum showed bilateral testicular enlargement and the presence of multiple nodules involving both the testis and the epididymis. Urine cultures obtained from a percutaneous left nephrostomy were positive for tuberculous bacilli, and the patient was placed on anti-tuberculous treatment.






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