Diagnostic Ultrasound - Abdomen and Pelvis

Testicular Microlithiasis
(Left) Transverse grayscale
ultrasound of the left testis
demonstrates clustered
microlithiasis ſt. The patient
had a history of right
orchiectomy for germ cell
tumor and was being
followed-up by ultrasound on
an annual basis. (Right)
Sagittal grayscale ultrasound
follow-up on the same patient
after 11 years demonstrates
development of multiple
hypoechoic masses .
Pathology confirmed
multifocal seminoma.
Diagnoses: Scrotum
(Left) Sagittal color Doppler
ultrasound of the right testis
demonstrates a large
hypoechoic mass in the
background of extensive
microlithiasis. Pathology
confirmed a classic seminoma.
(Right) Sagittal grayscale
ultrasound of the right testis
demonstrates diffuse
extensive microlithiasis. This
limits adequate assessment of
the testicular parenchyma for
tumor, hence these must be
referred to specialist centers
for alternate methods of
future screening.
(Left) Transverse grayscale
ultrasound of the left testis
demonstrates an isolated
microlith in the
parenchyma. This does not
meet the definition of
testicular microlithiasis and is
likely a sequela of prior
infection or trauma. (Right)
Transverse grayscale
ultrasound of the left testis
demonstrates presence of
microcalcifications and
macrocalcifications (with
shadowing st). Patients with
any intratesticular
calcification should be
considered to be at higher risk
of a testicular malignancy.
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