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Fig. 3C. —31-year-old man with acute pain in left testicle who had
clinical symptoms of epididymoorchitis. Unenhanced (C) and enhanced
(D) T1-weighted images (572/20) show findings similar in morphology but
with borders better defined than on sonography. Enhanced image also defines
avascular lesion with marked rim enhancement of borders. Lesion does not bulge
upper pole of testis, and even this upper hemisphere seems smaller than rest
of testicular parenchyma (arrowheads). Despite this finding and
negative tumoral markers, lesion could not be differentiated from tumor, and
patient underwent orchiectomy. Pathologic result was segmental testicular
infarction.
