Question Title: What do these terms mean? Is a tumor present?

Dear Doc, I have had severe pain in my left testicle for 6 months. They did all the usual tests, prostrate, cisto for the bladder, IVP for kidneys, Barium Enema, Colonoscopy, MRI of the hip and lower back, CT of the spine, MRI of the Lumbar spine and an ultra sound of the testicles in the doctors office twice along with all the anti biotics you can think of, no help. Saturday I was in so much pain I went to the emergency room. They did a Trans-scrotal sonography with doppler. Here is what they came up with. Both testes measure 4cm in greatest diameter. There appear to be small intratesticular echogenic foci bilaterally which could represent small calcifications. There is an area of increased echogenicity within the medial left testis, measuring approximately 1 cm . Bialateral testicular flow is noted. Tube-like structures are noted adjacent to the medial portion of the left testis, with questionable internal moving debris vs vascular structure. Impression: Probable small intratesticular calcifications. 1 cm irregular hyperechoic lesion within the medial portion of the left testis, of uncertain origin. Multiple tubular structures adjacent to the medial left testis could represent spermatocele formation. Bilateral Doppler flow is demonstrated to both testes. Could you tell me what this means in english? Thank you very much! Bryan

Translating all that medical jargon to English is a little tricky, but I will do my best and hope that you grasp the meaning from these descriptions.

The result of the ultrasound essentially shows that your testicles have good blood flow on both sides. Further, a 1cm. area is seen in your left testicle which may be solid in nature (as opposed to fluid filled cysts or bags); you will want to have that investigated further by your urologist for possible surgical removal. There are also areas of calcification (areas which may contain calcium deposits) in your testicles. Additionally, there is a question of a spermatocele. Spermatoceles are small fluid filled bags or cysts which may contain sperm, and that are found near the epidymis (part of the testicle where sperm maturation takes place). You had the ultrasound done while you were in the ER, but I would imagine that by now you have a urologist involved in your care. If not, you need to follow-up with one right away. The urologist will know how to help you proceed to uncover the cause of your pain.

This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-BE
*keyword: scrotal pain

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