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Fig. 18 | Insights into Imaging

Fig. 18

From: Identifying the deceiver: the non-neoplastic mimickers of genital system neoplasms

Fig. 18

Two different patients with known history of congenital adrenal hyperplasia. a Gray scale and color Doppler US images show round lesions in both testes in 13-year old male. The most prominent lesion appears as a focal hypoechoic lesion within the mediastinum of the right testis (asterisk). There was no significant internal vascularity on color Doppler US. Based on the patient’s history and imaging findings, testicular adrenal rests was considered. Serial US exams over 2-years confirmed stability of testicular lesions. b-c Gray scale US b shows bilateral lobulated, large-sized hypoechoic lesions within the mediastinum testis in 15 years-old male. The largest lesion was detected within the right testis as a predominantly hypoechoic, heterogenous lesion (arrows). c On color Doppler US, there was intense internal vascularity within the lesion. These lesions were also considered to be consistent with testicular adrenal rests

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