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Diffuse echoes within a simple hydrocele: an imaging caveat.
Author(s) -
Collings C,
Cronan J J,
Grusmark J
Publication year - 1994
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1994.13.6.439
Subject(s) - medicine , hydrocele , confusion , artifact (error) , radiology , ultrasonography , artificial intelligence , psychology , computer science , psychoanalysis
Low‐level swirling echoes were noted in scrotal fluid that ultimately proved to be a hydrocele. This sonographic appearance is similar to a hematocele or pyocele and potentially can cause confusion. We evaluated 14 patients with hydroceles and found these swirling echoes in nine. In each of these patients, the echoes were readily apparent with increased gain and were distinguished from artifact by their motion. We analyzed the fluid from one hydrocele and found high protein levels. We propose that protein aggregates account for these echoes. This appearance should not be confused with that resulting from a traumatic or infectious cause.