epididymal calcification

Epididymal calcification can be seen on ultrasound as hyperechoic foci within the epididymal head. If the calcifications are large enough, then they may demonstrate acoustic shadowing.

Differential diagnosis

  • chronic epididymitis, e.g. bacterial, granulomatous (TB) or genital filariasis 
  • trauma: incidence of 34% in extreme mountain bikers and 8% in equestrians 
  • calcium/phosphate metabolism abnormalities: e.g. secondary to haemodialysis
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