Review of paratesticular pathology: findings on ultrasound and MRI

Refky Nicola, Christine O. Menias, Nirvikar Dahiya, Kathryn Robinson, Amy K. Hara, Cary Lynn Siegel

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


The paratesticular scrotal contents consist of the spermatic cord, epididymis, and fascia, which originate from the embryologic descent of the testis through the abdominal wall. Historically, the primary diagnostic modality has been high-resolution ultrasound. Magnetic resonance imaging (MRI) is an alternative imaging option. Both contrast MRI and diffusion weighted imaging can assist in differentiating between benign and malignant lesions. Unlike the testis which most disease processes are malignant, a wide spectrum of benign disease processes affects the paratesticular region either in isolation or as part of a contiguous disease process from adjacent organs. The familiarity with the epidemiology, pathogenesis, and imaging features can aid the radiologic diagnoses and guide appropriate clinical management. In this article, we review the ultrasound and MR characteristics of various paratesticular pathologies.

Original languageEnglish (US)
Pages (from-to)585-601
Number of pages17
JournalAbdominal Radiology
Issue number2
StatePublished - Feb 1 2017

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology


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