Testicular Seminoma Clinical History A 29-year old male presented symptoms of a hard palpable lump in the right testis. Ultrasound was requested as the first line of imaging to assess for any lesions within the scrotum. Case Description Ultrasound revealed a 4 cm mass within the right testis with an irregular outline, a hypoechoic echotexture, and a significantly increased vascularity within the mass. Diagnosis/ Discussion/ Treatment/ Follow up The patient had a right orchidectomy. Histology revealed features of testicular seminoma. Sonograms B-mode showing the right testicular mass next to the normal left testis Right testicular mass Right testicular mass with measurement callipers longitudinal and axial views CDI showing hypervascularity of the right testicular mass Dual screen image of the right and left testes on CDI Keywords Published on: November 25, 2024