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At ultrasound, the findings of acute epididymitis include an enlarged hypoechoic or hyperechoic (presumably secondary to hemorrhage) epididymis [Fig. 20a]. Other signs of inflammation such as increased vascularity, reactive hydrocele, pyocele and scrotal wall thickening may also be present.
The tunica albuginea is a dense, [1] [2] blue-white [3] layer of fibrous tissue surrounding the testis. [1] [4] It is the middle of three envelopes forming the capsule of the testis; it is deep to the visceral layer of tunica vaginalis, and superficial to the tunica vasculosa testis (vascular layer of testis).
Ultrasound image showing tubular ectasia of the rete testis as an incidental finding in an 81 year old male Rete tubular ectasia , also known as cystic transformation of rete testis [ 1 ] is a benign condition, usually found in older men, involving numerous small, tubular cystic structures within the rete testis .
The ciliated cells serve to stir the luminal fluids, possibly to help ensure homogeneous absorption of water from the fluid produced by the testis, which increases the concentration of luminal sperm. The epithelium is surrounded by a band of smooth muscle that helps to propel the sperm toward the epididymis.
Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics (e.g., distances and velocities) or to generate an informative audible sound.
One weakness of adenomatoid tumor ultrasound imaging is that it is only possible if the tumor is hyperechoic. Ultrasonically can help identify if it fits this category or not. This specific characteristic in adenomatoid tumors is variable and can determine whether or not ultrasound is the right technique for the job. [11]
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Doppler ultrasound of epididymitis, seen as a substantial increase in blood flow in the left epididymis (top image), while it is normal in the right (bottom image). The thickness of the epididymis (between yellow crosses) is only slightly increased. Diagnosis is typically based on symptoms. [1]