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Testicular tumor mimic on MRI

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Large left hydrocele and heterogeneous echo pattern of the left testicle on ultrasound.

Patient Data

Age: 65 years
Gender: Male
mri

MRI showed an apparent T2-hypointense, T1-isointense lesion with irregular borders at the mediastinum testis, that enhanced with gadolinium. The left epididymis was difficult to visualize, probably atrophic. Large left hydrocele. The right scrotal contents appear normal.

Case Discussion

Open incisional biopsy was performed. Histology showed marked stromal fibrosis and mild chronic non-specific inflammation. No malignancy.

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