Doppler ultrasound of the tests:
Findings
Normal size and parenchymal echoes of the both testes.
The right testis size = 26x16x42 mm in diameter
The left testis size = 30x19x44 mm in diameter.
A 10 mm, right epididymal head cyst.
Two 4 and 5 mm, cyst at left epididymal head-body area (concern area)
Normal size and appearance of the both epididymes.
No demonstrable of mass or abnormal calcification.
Normal vascularity of both testes and epididymis.
No abnormal collection.
Dilated venous channel around both testes diameter of 2.2-3.3 mm and increase color flow and
Significant reflux when doing Valsalva maneuver, suggestive of bilateral varicoceles.
Reflux time right side up to 3827 msec and left side up to 2480 msec
Impression
1. A few bilateral epididymal cysts.
2. 2. Bilateral varicoceles.
Concern area at left testis corresponding with cysts at left epididymal head-body area