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British Journal of Radiology (2006) 79, 801-803
© 2006 British Institute of Radiology
doi: 10.1259/bjr/50628431

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Multiple hyperechoic testicular lesions are a common finding on ultrasound in Cowden disease and represent lipomatosis of the testis

J Woodhouse, MRCS 1 and M M Ferguson, FDSRCPS 2

1 Department of Urology, Christchurch Hospital, Christchurch, 2 Department of Stomatology, University of Otago, Dunedin, New Zealand


Figure 1
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Figure 1. Longitudinal ultrasound view of the right testis demonstrates well defined multiple non-shadowing small round lesions that are hyperechoic. The lesions are of various sizes and are non-confluent. No hypoechoic regions or calcifications are seen.

 

Figure 2
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Figure 2. Longitudinal ultrasound of testis in one case demonstrated that some of the lesions displayed acoustic shadowing. The lesions here are similarly hyperechoic. No hypoechoic regions or calcifications are seen.

 

Figure 3
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Figure 3. SagittalT1 weighted spin echo sequence (repetition time (TR) 600 ms, echo time (TE) 14 ms, 3 mm slice thickness, field of view (FOV) 10 cm) of the left testis. The scan demonstrates tiny hyperintense areas (white arrows) within the testis parenchyma consistent with fat.

 





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