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.
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.
Greater than five microliths are identifiable on nearly all acquired transverse images of the testicle with the exception of the right upper pole.
Six month interval ultrasound examinations to assess for presence/development of testicular neoplasm, which have been shown to be associated with testicular microlithiasis.
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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