Ultrasound: testicular: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
==Anatomy== | ==Anatomy== | ||
* | *Testicle - ~2 to 3 cm in width and 3 to 5 cm in length | ||
* | *Epididymis - along the posterolateral aspect of each testis | ||
* | *Vas Deferens | ||
* | *Spermatic cord | ||
* | *Median Raphe | ||
==Technique== | ==Technique== | ||
* | *Linear Transducer | ||
* | *Scanned in longitudinal and transverse axis | ||
* | *First the unaffected hemiscrotum | ||
* | *Coronal scan showing both testicles side by side (Buddy View) should be performed to identify differences in size and echogenicity, and vascularity | ||
*Power Doppler examination on unaffected side for calibration of machine | *Power Doppler examination on unaffected side for calibration of machine | ||
==Terms== | ==Terms== | ||
* | *Hyperemia:inflammation and demonstrates no flow and lots of color with out a pulse | ||
**Think orchitis and detorsed testicle | **Think orchitis and detorsed testicle | ||
==Findings and DDX== | ==Findings and DDX== | ||
* | *Epididymitis - enlarged epididymis with decreased echogenicity | ||
* | *Orchitis - enlarged testicle with heterogeneous echogenicity with increased blood flow | ||
* | *Hydrocele - Abnormal collection of fluid in the space between the visceral and parietal layers of the tunica vaginalisin anterolateral portions | ||
* | *Varicocele - left side, multiple anechoic serpiginous tubular or curvilinear structures of varying sizes (larger than 2 mm in diameter) | ||
* | *Testicular torsion - Power Doppler with absent blood flow in the affected testicle; patient can present early and still have flow | ||
* | *Torsion of the testicular appendage | ||
* | *Testicular trauma | ||
* | *Herniation of abdominal contents into the scrotum - peristalsis of bowel | ||
==See Also== | ==See Also== | ||
*[[Ultrasound (Main)]] | *[[Ultrasound (Main)]] | ||
*[[Orchitis]] | *[[Orchitis]] | ||
*[[ | *[[Epididymitis]] | ||
*[[ | *[[Hydrocele]] | ||
*[[ | *[[Testicular Torsion]] | ||
*[[ | *[[Varicocele]] | ||
==Source== | ==Source== | ||
*Sonosite | *Sonosite - Last Accessed 12/30/14 | ||
[[Category: GU]] | [[Category: GU]] | ||
[[Category: Rads]] | [[Category: Rads]] | ||
Revision as of 21:45, 30 December 2014
Anatomy
- Testicle - ~2 to 3 cm in width and 3 to 5 cm in length
- Epididymis - along the posterolateral aspect of each testis
- Vas Deferens
- Spermatic cord
- Median Raphe
Technique
- Linear Transducer
- Scanned in longitudinal and transverse axis
- First the unaffected hemiscrotum
- Coronal scan showing both testicles side by side (Buddy View) should be performed to identify differences in size and echogenicity, and vascularity
- Power Doppler examination on unaffected side for calibration of machine
Terms
- Hyperemia:inflammation and demonstrates no flow and lots of color with out a pulse
- Think orchitis and detorsed testicle
Findings and DDX
- Epididymitis - enlarged epididymis with decreased echogenicity
- Orchitis - enlarged testicle with heterogeneous echogenicity with increased blood flow
- Hydrocele - Abnormal collection of fluid in the space between the visceral and parietal layers of the tunica vaginalisin anterolateral portions
- Varicocele - left side, multiple anechoic serpiginous tubular or curvilinear structures of varying sizes (larger than 2 mm in diameter)
- Testicular torsion - Power Doppler with absent blood flow in the affected testicle; patient can present early and still have flow
- Torsion of the testicular appendage
- Testicular trauma
- Herniation of abdominal contents into the scrotum - peristalsis of bowel
See Also
Source
- Sonosite - Last Accessed 12/30/14