Simple Hydrocele

Bilateral Hydroceles in a Newborn

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

 

Hydrocele Caused by Epididymo-Orchitis

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 transverse plane through the tail of the right epididymis again shows mass like heterogeneous appearance with mass effect on the testis, necrotic fluid collection, skin thickening and simple hydrocele
Ashley Davidoff MD 133313

Snowstorm Hydrocele

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

Hydrocele Caused by Torsion

Complex Hydroceles

Infection Following Prostate Biopsy  with testicular Infarction and Epididymitis

US in the sagittal plane of the right testis shows enlargement of the head of the epididymis, complex hydrocele with septations and thickening of the skin.
Ashley Davidoff MD 133212

? TB

US in the transverse plane through the tail of the right epididymis again shows mass like heterogeneous appearance with mass effect on the testis, necrotic fluid collection, skin thickening and simple hydrocele
Ashley Davidoff MD 133313

2 months later US in the transverse plane through the scrotal sac is dominated by a large complex loculated hydrocele compressing the enlarged right epididymis and testis.
Ashley Davidoff MD 133330

A Further 2 Months Later

Pyocele