Review of paratesticular pathology: findings on ultrasound and MRI

UMMS Affiliation

Department of Radiology

Publication Date


Document Type



Pathology | Radiology


The paratesticular scrotal contents consist of the spermatic cord, epididymis, and fascia, which originate from the embryologic descent of the testis through the abdominal wall. Historically, the primary diagnostic modality has been high-resolution ultrasound. Magnetic resonance imaging (MRI) is an alternative imaging option. Both contrast MRI and diffusion weighted imaging can assist in differentiating between benign and malignant lesions. Unlike the testis which most disease processes are malignant, a wide spectrum of benign disease processes affects the paratesticular region either in isolation or as part of a contiguous disease process from adjacent organs. The familiarity with the epidemiology, pathogenesis, and imaging features can aid the radiologic diagnoses and guide appropriate clinical management. In this article, we review the ultrasound and MR characteristics of various paratesticular pathologies.

DOI of Published Version



Abdom Radiol (NY). 2017 Feb;42(2):585-601. doi: 10.1007/s00261-016-0870-0. Link to article on publisher's site

Journal/Book/Conference Title

Abdominal radiology (New York)


At the time of article submission, Refky Nicola was not yet affiliated with the University of Massachusetts Medical School.

Related Resources

Link to Article in PubMed

PubMed ID