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Intratesticular haematoma: differentiation from tumour on clinical history and ultrasound appearances in two cases

Department of Radiology, King's College Hospital, Denmark Hill, London SE9 9RS, UK

View larger version (81K): [in this window] [in a new window]   Figure 1. (a) Longitudinal image of the left testis demonstrating two low reflective intratesticular lesions (arrows) with evidence of internal areas of high reflectivity. (b) Colour Doppler image, on optimal low flow sensitivity, of the two lesions demonstrating no internal colour Doppler signal within the low reflective areas. (c) At the 1 month follow-up examination only a single low reflective lesion remains (arrow) with central echoes present. No internal colour Doppler signal was present in the lesion. (d) At 3 months the lesion has regressed further (arrow) appearing as an ill-defined area of low reflectivity with some internal echoes.

View larger version (85K): [in this window] [in a new window]   Figure 2. (a) Longitudinal image of the left testis demonstrating a focal area of low reflectivity (between cursors) with internal echoes, and widespread microlithiasis (arrows). (b) Colour Doppler image, on optimal low flow sensitivity, of the lesion demonstrating no internal colour Doppler signal within the low reflective areas. Internal echoes are again demonstrated. (c) At 4 weeks there has been reduction in size of the lesion (arrow), with no internal colour Doppler signal present. (d) 1 year later, there is no abnormality present in the left testis at the site of the previous lesion; microlithiasis remains.