Case 27
Clinical Presentation
A 38-year-old man with vague testicular pain.
Imaging Findings
(A) Sagittal sonographic image of the right testicle shows multiple tiny, highly echogenic foci (arrowheads) in the parenchyma of the testicle. No shadowing is seen behind them. No intratesticular mass or nodule is seen. (B) Sagittal sonographic image of the left testicle shows similar findings, thus demonstrating bilateral involvement. No intratesticular mass or nodule is seen.
Differential Diagnosis
• Testicular microlithiasis:
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