Magnetic Resonance Imaging to Diagnose Segmental Testicular Infarction

MRI of an Adenomatoid Tumor of the Tunica Albuginea

“…Other authors have used MRI findings to distinguish benign epidermoid cysts and testicular infarcts from testicular malignant tumors by showing a lack of enhancement of the abnormality [4][5][6]. In our patient, the adenomatoid tumor itself showed less contrast enhancement than testicular parenchyma remote from the mass and contralateral normal testicular parenchyma.…”

Segmental testicular infarction: report of seven new cases and literature review

“…Our review supports this finding, with 100% of our patients presenting with testicular pain. However, radiologists and clinicians should be aware that patients can alternatively present with abdominal pain in the setting of segmental testicular infarction, as has been noted in the literature [6,11]. The testicle generally has a normal vertical lie, with no palpable mass early on in the disease process [1,10].…”

“…6) [1,2]. However, consideration must be given to an avascular-appearing tumor; one study found that in 86% of tumors <1.6 cm, the testicle can be hypovascular [10,11]. However, these findings may be less applicable with current Doppler imaging technology [1].…”

Imaging of the scrotum: role of MRI

“…The lesion appeared isointense relative to the surrounding parenchyma on T1 and as a wellmarginated area of altered signal on T2. Contrast-enhanced T1 sequences demonstrated the characteristic rim of enhancement delimiting the lesion [12,13].…”

“…La lesione risultava isointensa al restante parenchima testicolare in T1 e appariva come un'area di alterato segnale, a contorni ben definiti, in T2. Nelle sequenze T1, acquisite dopo la somministrazione del mezzo di contrasto, era presente il caratteristico alone di impregnazione che delimita e circonda la lesione [12,13].…”