A Study of Scrotal Radiology

Introduction: The diagnosis of the scrotal pathologies primarily rests upon clinical history and careful physical examination . Aims And Objectives: Looking at the immense importance of high resolution ultrasonography and color duplex sonography as a non invasive imaging modality, the availability of good doppler equi pment in the institute and high incidence of scrotal pathologies, we decided in favour of usefulness of this study as first line non invasive investigation. The study was carried out with following aims and objectives.  To determine the imaging characteris tics of scrotal lesions.  To study the spectrum of sonological findings of various scrotal swellings.  To determine the efficacy of Gray scale sonography in diagnosis of scrotal lesions.  To classify scrotal lesions into testicular and extra - testicular. Mat erial and Methods: The present study was done in the department of Radiodiagnosis, g.r. Medical college and j.a. Group of hospitals, gwalior (m.p.) In usg machine ssd 4000sv (aloka trivitron pvt. Ltd., Tokyo, japan) from august 2015 to Nov. 2016. Summary & Conclusion: this study was undertaken to evaluate the multifold data obtained by high - resolution grey scale sonography, CDFI and PD in the evaluation of scrotal pathology. A total of 68 patients from all age groups with signs and symptoms related to scrot al diseases have been included in this study. The scrotal pathologies were seen to be commonest in young males. The chief complaint was scrotal swelling followed by scrotal pain. All the 68 patients were properly followed up sonographically/ medically/surg ically/pathologically as per indication, to arrive at a final diagnosis. There were 96 pathological lesions in total at the final diagnosis, as some of the patients had more than one lesion. Out of these, majority of the lesions were extra testicular in or igin (80.2%). The final diagnosis was extra - testicular fluid collection in 28 cases, acute inflammation in 14 cases, chronic inflammation in 6 cases, testicular tumor in 1 case, torsion of testis in 2 cases, testicular and epididymal cysts in 7 cases, vari cocele in 8 cases. The rest of the lesions included malpositioned testis, testicular trauma, testicular atrophy, scrotal hernia, testicular microlithiasis, scrotoliths and scrot al wall thickening.