Case 92
Clinical Presentation
A 64-year-old man with mediastinal widening on routine chest radiograph.
Imaging Findings
Ultrasound image of the left testicle (asterisk) shows a lobulated, heavily calcified lesion (arrow) with distal acoustic shadowing (arrowhead). No soft-tissue component is obvious. There is no fluid in the scrotum.
Differential Diagnosis
• Burned-out testicular tumor: Large, dense calcifications with shadowing are characteristic in an older man. This should always be the first diagnosis in such patients, and further investigation is warranted.
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