Scrotal mass Imaging
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American Roentgen Ray Society Images of Scrotal mass Imaging |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Imaging studies for scrotal mass include scrotal ultrasound, MRI, and chest x-ray.[1]
Imaging
Scrotal Ultrasound
- Scrotal ultrasound is the imaging modality of choice for scrotal mass.[1]
- The sensitivity of ultrasound in the identification of scrotal mass is very high (100%).
- Scrotal ultrasound can accurately differentiate extratesticular and intratesticular scrotal mass.[2]
- On scrotal ultrasound, the epididymis appears isoe- to slightly hyperechoic compared with the testis.[1]
- The fact to be remembered before performing scrotal ultrasound is to rule out emergency conditions such as testicular torsion, where it would need emergent surgical referral.[3]
MRI
- MRI of scrotum is seldom used for the detection of scrotal mass, as ultrasound is inexpensive, highly accurate, and easy to perform.[1]
- MRI is particularly helpful in differentiating extratesticular solid scrotal masses (lipoma, liposarcoma).
- Findings on MRI suggestive of scrotal mass are tabulated below:[1]
| MRI component | Findings |
|---|---|
| T1 |
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| T2 |
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Chest X Ray
Chest x-ray may be performed to detect metastases of scrotal tumor mass to the lungs.
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Woodward, Paula J.; Schwab, Cornelia M.; Sesterhenn, Isabell A. (2003). "From the Archives of the AFIP". RadioGraphics. 23 (1): 215–240. doi:10.1148/rg.231025133. ISSN 0271-5333.
- ↑ DIAGNOSTIC TESTS. American Family Physician 2016. http://www.aafp.org/afp/2014/0501/p723.html. Accessed on March 28, 2016
- ↑ Scrotal mass. American Academy of Family Physicians 2016. http://www.aafp.org/afp/2008/1115/p1165.html. Accessed on March 18, 2016