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Diagnostic Ultrasound - Abdomen and Pelvis

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Testes<br />

Anatomy: <strong>Pelvis</strong><br />

TESTIS, TRANSVERSE VIEW<br />

Tunica albuginea<br />

Rete testis<br />

Mediastinum testis<br />

Scrotal wall<br />

Epididymis, body<br />

Vessels in pampiniform plexus<br />

Right testis<br />

Transmediastinal artery<br />

Low resistance arterial flow<br />

(Top) Transverse grayscale ultrasound of the normal testis shows diffuse low-level internal echoes in the parenchyma, mediastinum<br />

testis, <strong>and</strong> the striated pattern of rete testis. The testis is covered with 2 thin, echogenic layers of tunica albuginea. (Middle) Transverse<br />

color Doppler ultrasound again shows normal paucity of testicular vascularity. Some vessels are also identified in the epididymis. More<br />

vessels can be identified along the mediastinum testis. (Bottom) Pulsed Doppler ultrasound of an intratesticular artery <strong>and</strong> the<br />

transmediastinal artery shows low resistance with low systolic <strong>and</strong> end-diastolic flow velocities.<br />

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