004Te 74M Snowstorm Hydrocele and Swollen Spermatic Cord The Snowstorm Hydrocele and Swollen Spermatic Cord 74 Year Old Male with Pain and Swelling of the Right Testis and Hydrocele US in the transverse plane through both testes shows thickened overlying skin, more prominent over the right testis, no significant difference in the echogenicity of the testes but prominent right epididymis and small hydrocele Ashley Davidoff MD 133097 Doppler US in the sagittal plane through testes shows hyperemia of the right testis and epididymis consistent with orchitis and epididymitis Ashley Davidoff MD 133157 US in the sagittal plane through the right testis and epididymis shows mild thickening of the overlying skin and an enlarged epididymis associated with a small hydrocele consistent with the diagnosis of acute epididymitis Ashley Davidoff MD 133105 US in the transverse plane through the tail of the right epididymis (above) shows enlargement of the epididymis and significant hyperemia (below) consistent with the diagnosis of acute epididymitis Ashley Davidoff MD 133121c Doppler US in the sagittal plane through the tail of the right epididymis shows enlargement of the epididymis and significant hyperemia consistent with the diagnosis of acute epididymitis Ashley Davidoff MD 133124 US in the sagittal plane through the right testis shows a moderate hydrocele with snowstorm appearance caused either by cholesterol crystalline particles or high protein content, likely of no clinical significance Ashley Davidoff MD 133103 US in the sagittal plane through the normal left spermatic cord (black arrow head upper image) and enlarged spermatic cord (red arrow lower image), a finding associated with epididymo-orchitisAshley Davidoff MD 1331113cL