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Aortic dissection
Joseph Junewick, MD FACR
over 11 years ago
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Tunica Albuginea Fibrosis

Case Detail

Anatomy: Genitourinary
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 9 years ago
Updated: over 9 years ago
Tags: PEDS
Modality/Study Types: US
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Teenage football player with intermittent scrotal pain.

Case Images


Tunica Albuginea Fibrosis


US -Hyperechoic plaque-like thickening of the tunica albuginea some demonstrating calcifications. Incidental note is made of a few scattered testicular microliths.


Diffuse fibrous pseudotumor of the scrotum, also known as fibromatous periorchitis, represents a benign reactive proliferation of inflammatory and fibrous tissue. It is probably related to chronic irritation (repetitive trauma, infection, surgery or inflammation). At sonography, thickening of the tunica with linear calcifications or confluent nodular masses.


Garriga V, Serrano A, Marin A, et al. US of the tunica vaginalis testis: Anatomic relationships and pathologic conditions. Radiographics (2009); 29:2017-2032.

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