POCUS - Testicular

Question 1

Review the positioning for scrotal US.

Answer 1

Patient is supine
Penis is on abdomen
Towels support scrotum
Warm gel

Question 2

Which transducer is used for testicular US?

Answer 2

Linear

Question 3

An echogenic line down the testis is what normal structure?

Answer 3

Mediastinum testis

Question 4

What is rete testis?

Answer 4

Occlusion of the efferent ducts leads to dilation of tubules in the mediastinum testis

Question 5

In what two intrascrotal locations can you see scrotal cysts?

Answer 5

Testicular
Epididymal

Question 6

Rete testis is more common in what age group?

Answer 6

Over age 55

Question 7

How does epididymitis present on US?

Answer 7

Enlarged and hypoechoic compared to contralateral side

Hyperemic

Hydroceles commonly present secondary to epididymal inflammation

Question 8

How does orchitis present on US?

Answer 8

Enlarged testis that is heterogenous, hyperemic, and with concomitant hydrocele

Question 9

What layer of tissue is broken in testicular rupture?

Answer 9

Tunica albuginea

Question 10

What US features are more suggestive of malignancy?

Three things

Answer 10

Intratesticular
Solid or complex cyst
Detectable internal vascularity