Standard and Additional Imaging for Testes/Scrotum

24 y/o patient presenting with right orchidectomy and epididectomy as a result of childhood orchidopexy.

Query recurrence of left hydrocoele following surgical drainage four months prior to examination.

Standard Imaging ProtocolRight and Left Testes• Transverse Images

– Epididymal head– Superior testis– Mid with trans measurement– Mid with colour to document blow flow– Inferior testes– Epididymal tail

• Longitudinal Images– Lateral testis– Mid– Mid with longitudinal and AP measurement– Medial– Superior Aspect– Inferior Aspect

Right and Left Epididymis• Longitudinal Images with measurement of the thickness of epididymis

– Head– Body– Tail

Comparison• Transverse images demonstrating both testes to allow for comparison of echotexture

Adapted Image Protocol for Patient Particulars

Left Testes• Transverse Images

– Epididymal head– Superior testis– Mid with trans measurement– Mid with colour to document blow flow– Inferior testes– Epididymal tail

• Longitudinal Images– Lateral testis– Mid– Mid with longitudinal and AP measurement– Medial– Superior Aspect– Inferior Aspect

Left Epididymis• Longitudinal Images with measurement of the thickness of epididymis

– Head– Body– Tail

Additional Imaging

• Images of relevant pathology including measurements– Upper and lower segments of the apparent

hydrocoele– Colour Doppler imaging to assess if any

pathological increase in vascularity is present– Image demonstrating communication between

superior and inferior segments of the hydrocoele