Fig. 16

Segmental testicular infarction. A 32-year-old male with known Behcet’s disease presenting to the ER with left testicular pain. There was no history of trauma. a Gray scale US shows a triangular heterogeneous hyperechoic lesion (arrows) within the left testis. b On Power mode Doppler US, there was no vascularity within this focal area (asterisk). c Coronal plane T2W MR image shows triangular heterogeneous hyperintense lesion with a T2 hypointense rim. d Coronal plane postcontrast MR image demonstrates a hypoenhancing, wedge-shaped parenchymal area with sharp borders. Imaging findings were considered to be consistent with segmental testicular infarction, likely related to Behcet’s disease. Patient was placed on supportive treatment, to which he responded well. Serial follow-up US examinations revealed almost-complete resolution within 3 weeks after the initial event