MedPix® Patient Chart - Case No: 2530 :: Imaging - Review Images

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History

Age: 34 :: Gender: man

Patient History

Patient presented for ultrasound to rule out a neoplastic process and confirm the patient's palpable, 1cm, right superior pole mass to be a spermatocele. Spermatocele was confirmed by ultrasound.

Exam


Physical Exam and Laboratory

Smooth, 1 cm, mass found by patient above the superior pole of the right testicle on Testicular Self Examination and confirmed by primary care physician. The testicles are non-tender.


Imaging

Imaging - Review Images for PT: 2530

Findings


Summary of Findings

Greater than five microliths are identifiable on nearly all acquired transverse images of the testicle with the exception of the right upper pole.


Imaging

Imaging - Review Images for PT: 2530

Diffferential


Differential Diagnosis

Microlithiasis


Imaging

Imaging - Review Images for PT: 2530

Diagnosis


Case Diagnosis

Dx: Testicular Microlithiasis


Dx Confirmed by:

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Followup


Followup and Treatment

Six month interval ultrasound examinations to assess for presence/development of testicular neoplasm, which have been shown to be associated with testicular microlithiasis.

Discussion


Discussion for this Patient

Testicular Microlithiasis may be either unilateral or bilateral. Its association with increased incidence of testicular neoplasm remains controversial. Associations include both normal and cryptorchid testes, Kleinfelter's syndrome, male pseudohermaphroditism, and testicular neoplasms.

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History:
Patient presented for ultrasound to rule out a neoplastic process and confirm the patient's palpable, 1cm, right superior pole mass to be a spermatocele. Spermatocele was confirmed by ultrasound.

Exam:
Smooth, 1 cm, mass found by patient above the superior pole of the right testicle on Testicular Self Examination and confirmed by primary care physician. The testicles are non-tender.

Findings:
Greater than five microliths are identifiable on nearly all acquired transverse images of the testicle with the exception of the right upper pole.

Differential:
Microlithiasis


Diagnosis:
Testicular Microlithiasis
Confirmed by:

Treatment and Followup:
Six month interval ultrasound examinations to assess for presence/development of testicular neoplasm, which have been shown to be associated with testicular microlithiasis.

Discussion:
Testicular Microlithiasis may be either unilateral or bilateral. Its association with increased incidence of testicular neoplasm remains controversial. Associations include both normal and cryptorchid testes, Kleinfelter's syndrome, male pseudohermaphroditism, and testicular neoplasms.

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Case Contributor and Editor
Submitted by: Kevin C. Reilly, Sr., PE, PP, MS, MD - Author Info
Case/Image Editor: - Editor Info
Case Accepted: :: Revised: :: Submitted:
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