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Clinical Importance of a Unilateral Striated Pattern Seen on Sonography of the Testicle

David D. Casalino1,2 and Richard Kim1

1 Department of Radiology, University of Chicago Hospitals, 5841 S. Maryland Ave., Chicago, IL 60637.
2 Present address: Department of Radiology, Northwestern University Medical School, 676 N. St. Clair St., Ste. 800, Chicago, IL 60611.



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  		Fig. 1. —30-year-old man (patient 1) with bilateral scrotal pain. Longitudinal sonogram from initial examination of left testis shows striated pattern consisting of multiple hypoechoic bands (arrows) radiating from mediastinum testis.

 


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  		Fig. 2A. —54-year-old man (patient 3) with chronic left scrotal tenderness. Transverse sonogram obtained at initial examination shows both testes and striated pattern (arrows) involving left testis. Left testis is smaller than right testis.

 


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  		Fig. 2B. —54-year-old man (patient 3) with chronic left scrotal tenderness. Transverse sonogram obtained at 1-year follow-up examination shows stable findings.

 


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  		Fig. 3A. —29-year-old man (patient 2) with left scrotal pain. Longitudinal sonogram obtained at initial examination of right testis shows striated pattern (arrows).

 


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  		Fig. 3B. —29-year-old man (patient 2) with left scrotal pain. Color-flow Doppler longitudinal sonogram of right testis shows normal color-flow Doppler pattern with no increased color signal along striations.

 


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  		Fig. 3C. —29-year-old man (patient 2) with left scrotal pain. Color-flow Doppler transverse sonogram of both testes shows symmetric color-flow Doppler pattern.

 

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