006Te 88M Epididymal Abscess

Epididymal Abscess

88 year old male presents with left scrotal pain and swelling

US in the sagittal plane through the right hemiscrotum shows a loculated collection in the left epididymis with compression of the left testis. Associated findings include overlying skin thickening.  These findings are consistent with an epididymal abscess
Ashley Davidoff MD 133175
US in the transverse plane through the left epididymis shows a multiloculated collection in the epididymis which extends through the tunica vaginalis into the surrounding soft tissues. Associated findings include overlying skin thickening. These findings are consistent with an abscess. A tumor of the epididymis is also included in the differential diagnosis as a less likely possibility.
Ashley Davidoff MD 133176
US in the sagittal plane through the left testis shows a shadowing microcalcifications in the left epididymal collection suggesting chronicity.
Ashley Davidoff MD 133179
Doppler US in the transverse plane through the left testis and epididymis shows mild increase in vascularity surrounding the epididymal collection consistent with a subacute or chronic abscess.
Ashley Davidoff MD 133178
Doppler US in the transverse plane through the left testis and epididymis shows normal vascularity to the testis and enlarged epididymis.
Ashley Davidoff MD 133185
US in the sagittal plane of the left spermatic cord shows enlargement and thickening of the wall consistent with extension of the inflammatory process from the epididymal abscess.
Ashley Davidoff MD 133187