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The right testis is enlarged. It shows a normal echo pattern without a mass lesion. Its parenchymal is reduced suggested with increased RI value. There are a twisted spermatic cord showing concentric pattern on the grayscale as well as with color doppler scan. The right epididymis showed mild oedema. There is a mild reactive hydrocele. Left testis and epididymis show a normal echopattern and vascularity. Scrotal wall thickness is normal.