Scrotal Ultrasound Results Explained: What Your Testicular Ultrasound Report Means

1. What the test is and why I ordered it

A scrotal ultrasound, usually with Doppler to show blood flow, looks at the testicles and the structures around them. I order it for a lump, swelling, pain, or as part of a fertility evaluation.

2. What the numbers usually mean

• Hydrocele: fluid around the testicle. Benign; treated only if it bothers you.
• Spermatocele or epididymal cyst: a fluid-filled cyst next to the testicle. Benign.
• Varicocele: enlarged veins above the testicle. It matters mainly for fertility or a dull ache.
• Microlithiasis: tiny specks of calcium. On its own it is low risk; monthly self-exams are advised, with more follow-up if you have other risk factors.
• A solid mass inside the testicle needs a prompt urology visit, because these are treated as possible cancer until shown otherwise.

3. What usually happens next

Benign findings usually need reassurance and treatment only if they cause symptoms. A solid mass leads to blood tests (tumor markers) and a prompt visit. A varicocele found during a fertility workup is usually paired with a semen analysis.

4. When to call right away

Go to the emergency room now for sudden, severe testicle pain. A twisted testicle (torsion) is time-sensitive. Also seek care for swelling with fever.

5. Where to see your result and ask about it

Your actual result, and any note from your care team, is in your patient portal, the same one you use to book visits and send messages. Send questions about your result through the portal, or call the office at (516) 535-1900. If something feels urgent, call the office or go to the nearest emergency room. This page explains what results usually mean; it can't interpret yours.