Case History: Male in third decade of life experienced sudden onset of scrotal pain and swelling for approximately 36 hours prior to exam.
During the exam, the patient felt no pain and explained that the swelling had reduced minimally, although it was visually enlarged during the exam.
Figure 1. Ultrasound image of the right mid testicle in a longitudinal plane shows a heterogeneous and enlarged testicle.
Figure 2. Ultrasound image of the right mid testicle in a transverse plane.
In this particular case, the radiologist suspected that the testicle had possibly torsed on itself.
Testicular torsion is considered an emergency situation.
The highest incidence of testicular torsion is usually in young men between the ages of 12 and 16.
