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-orchitis
Ashley Davidoff MD 1331113cL