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Testicular Microlithiasis || Ultrasound || Case 334

Clinical Features:
22-year-old male patient came with a previous history of testicular pain & swelling.

Ultrasound Features:
Discrete punctate non-shadowing hyperechoic foci diffusely scattered throughout the testicular parenchyma bilaterally with comet tail artifacts.

Remember:
Clusters of testicular microliths may represent testicular tumor without soft tissue mass.
Clusters of microliths adjacent to solid mass suggest a germ cell tumor.

According to the ESUR scrotal imaging guidelines:
Limited TML: less than 5 microcalcifications per field of view
Classic TML: greater than or equal to 5 microcalcifications per field of view
Diffuse TML: numerous microcalcifications

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