Diagnostic Imaging of the Testicle

  • Lorenzo E. Derchi
  • Enrico Capaccio
  • Andrea Podestà


Radiologists play a fundamental role in the evaluation of patients with testicular disease. Imaging can in fact provide highly effective information which responds to clinical queries regarding the presence of lesions, their intra- or extratesticular location and whether they are bilateral. In some cases imaging is even able to identify the nature of the lesions. The most appropriate techniques are ultrasonography (US) and magnetic resonance (MR). Plain film radiology and computed tomography (CT) may be used in rare cases in the search for gas or calcifications in the scrotal tissue.


Testicular Cancer Testicular Torsion Male Reproductive System Testicular Microlithiasis Acute Scrotum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Dogra VS, Gottlieb RH, Oka M et al (2003) Sonography of the scrotum. Radiology 227:18–36CrossRefPubMedGoogle Scholar
  2. Middleton WD, Bell MW (1993) Analysis of intratesticular arterial anatomy with emphasis on transmediastinal arteries. Radiology 189:157–160PubMedGoogle Scholar
  3. Muglia V, Tucci S Jr, Elias J Jr et al (2002) Magnetic resonance imaging of scrotal diseases: when it makes the difference. Urology 59:419–423CrossRefPubMedGoogle Scholar
  4. Oyen RH (2003) Scrotal ultrasound. Eur Radiol 12:19–34CrossRefGoogle Scholar
  5. Serra AD, Hricak H, Coakley FV et al (1988) Inconclusive clinical and ultrasound evaluation of the scrotum: impact of magnetic resonance imaging on patient management and cost. Urology 51:1018–1021CrossRefGoogle Scholar
  6. Chung JJ, Kim MJ, Lee T et al (1997) Sonographic findings in tuberculous epididymitis and epididymo-orchitis. J Clin Ultrasound 25:390–394CrossRefPubMedGoogle Scholar
  7. Cohen HL, Shapiro MA, Haller JO et al (1992) Torsion of the testicular appendages: sonographic diagnosis. J Ultrasound Med 11:81–83PubMedGoogle Scholar
  8. Dogra V, Bhatt S (2004) Acute painful scrotum. Radiol Clin North Am 42:349–363CrossRefPubMedGoogle Scholar
  9. Dogra VS, Rubens DJ, Gottlieb RH et al (2004) Torsion and beyond: new twists in spectral Doppler evaluation of the scrotum. J Ultrasound Med 23:1077–1085PubMedGoogle Scholar
  10. Dogra VS, Smeltzer JS, Poblette J (1994) Sonographic diagnosis of Fournier’s gangrene. J Clin Ultrasound 22:571–572CrossRefPubMedGoogle Scholar
  11. Farriol VG, Comella XP, Agromayor EG et al (2000) Gray-scale and power Doppler sonographic appearances of acute inflammatory diseases of the scrotum. J Clin Ultrasound 28:67–72CrossRefPubMedGoogle Scholar
  12. Lin EP, Bhatt S, Rubens DJ et al (2007) Testicular torsion: twists and turns. Semin Ultrasound CT MR 28:317–328CrossRefPubMedGoogle Scholar
  13. Rajan DK, Scharer KA (1994) Radiology of Fournier’s gangrene. AJR Am J Roentgenol 163:649–655Google Scholar
  14. Stavros T, Rapp C, McGrath J (2000) Color duplex sonography of acute scrotal pain. In: Bluth EJ, Arger PH, Benson CB et al (eds) Ultrasound. A practical approach to clinical problems. Thieme, New York, pp 135–152Google Scholar
  15. Strauss S, Faingold R, Manor H (1997) Torsion of the testicular appendages: sonographic appearance. J Ultrasound Med 16:189–192PubMedGoogle Scholar
  16. Vijayaraghavan SB (2006) Sonographic diagnosis of acute scrotum: real time whirlpool sign, a key sign of torsion. J Ultrasound Med 25:563–570PubMedGoogle Scholar
  17. Bilagi P, Sriprasad S, Clarke JL et al (2007) Clinical and ultrasound features of segmental testicular infarction: six year experience from a single centre. Eur Radiol 17:2810–2818CrossRefPubMedGoogle Scholar
  18. Cittadini G, Gauglio C, Pretolesi F et al (2004) Bilateral epidermoid cyst of the testis: sonographic and MRI findings. J Clin Ultrasound 32:370–372CrossRefPubMedGoogle Scholar
  19. Dogra VS, Gottlieb RH, Oka M et al (2003) Sonography of the scrotum. Radiology 227:18–36CrossRefPubMedGoogle Scholar
  20. Hamm B (1997) Differential diagnosis of scrotal masses by ultrasound. Eur Radiol 7:668–679CrossRefPubMedGoogle Scholar
  21. Hortsman WG, Melson GL, Midldeton WD et al (1994) Testicular tumors: findings at Doppler US. Radiology 191:561–564Google Scholar
  22. Kim W, Rosen MA, Langer JE et al (2007) US-MR imaging correlation in pathologic conditions of the scrotum. RadioGraphics 27:1239–1253CrossRefPubMedGoogle Scholar
  23. Langer JE, Ramchandani P, Siegelman ES et al (1999) Epidermoid cysts of the testicle: sonographic and MR features. AJR Am J Roentgenol 173:1295–1299PubMedGoogle Scholar
  24. Middleton WD, Teefy SA, Santillan CS (2002) Testicular microlithiasis: prospective analysis of prevalence and associated tumor. Radiology 224:425–428CrossRefPubMedGoogle Scholar
  25. Miller FN, Sidhu PS (2002) Does testicular microlithiasis matter — A review. Clin Radiol 57:883–890CrossRefPubMedGoogle Scholar
  26. Miller FNAC, Rosairo S, Clarke JL et al (2007) Testicular calcification and microlithiasis: association with primary intratesticular malignancy in 3,477 patients. Eur Radiol 17:363–369CrossRefPubMedGoogle Scholar
  27. Oyen RH (2002) Scrotal ultrasound. Eur Radiol 12:19–34CrossRefPubMedGoogle Scholar
  28. Tackett RE, Ling D, Catalona WJ et al (1986) High resolution sonography in diagnosing testicular neoplasms: clinical significance of false positive scans. J Urol 135:494–496PubMedGoogle Scholar
  29. Tartar VM, Trambert MA, Balsara ZN et al (1993) Tubular ectasia of the rete testis: sonographic and MR imaging appearance. AJR Am J Roentgenol 160:539–542PubMedGoogle Scholar
  30. Winter TC (2002) There is a mass in the scrotum: what does that mean? In: Cooperberg PL (ed) RSNA Categorical Course in Diagnostic Radiology: Findings at US — what do they mean? RSNA 283–293Google Scholar
  31. Woodward PJ, Sohaey R, O’Donoghue MJ et al (2002) Tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. RadioGraphics 22:189–216PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Lorenzo E. Derchi
    • 1
  • Enrico Capaccio
    • 1
  • Andrea Podestà
    • 1
  1. 1.Department of Surgery and Integrated MorphologiesUniversity of Genoa San Martino HospitalGenoaItaly

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