Ultrasound image optimisation: the different diagnosis of testicular lesions.

Andrew Walsh, Leeds Teaching Hospitals NHS Trust 

Background and Introduction 

Testicular lesions encompass a broad spectrum of pathology, and treatment strategies can range from a ‘leave alone’ approach, to aggressive and early surgery. Ultrasound (US) is the preferred, and often only, modality for imaging the testes, thus it is crucial that sonography is able to give as unequivocal an answer as possible. The practitioner dependant nature of US can therefore greatly impact diagnosis and treatment. We present a selection of four ‘mini case studies’ of testicular lesions, seen in the US department of a busy tertiary centre. The clinical context is given, along with an emphasis upon the importance of image optimisation in each case.

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