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Multiparametric Sonography of Testicular Hematomas
Author(s) -
Yusuf Gibran,
Konstantatou Eleni,
Sellars Maria E.,
Huang Dean Y.,
Sidhu Paul S.
Publication year - 2015
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/ultra.34.7.1319
Subject(s) - medicine , elastography , radiology , hematoma , color doppler , lesion , ultrasonography , nuclear medicine , ultrasound , pathology
We investigated the appearances of intratesticular hematomas on multiparametric sonography combining grayscale, color Doppler, and contrast‐enhanced sonography and strain elastography. Over a 3‐year period, 17 hematomas in 8 patients were analyzed. Blunt trauma (n = 7) and surgery (n = 1) were preceding events. Grayscale sonography showed well‐defined oval or round predominantly hypoechoic and heterogeneous, peripherally (n = 13) or centrally (n = 4) located lesions. Three showed contrast enhancement of septations, and 4 showed peripheral lesion rim enhancement. On strain elastography, the mean strain ratio was 1.19 (range, 0.41–2.36), and elasticity score were 3 or lower (n = 13) and 5 (n = 4). Multiparametric sonography shows nonenhancement with contrast and predominantly “soft” elastographic properties and aids in the interpretation of the benign nature of intratesticular hematomas.