Non-neoplastic and neoplastic scrotal pathologies on magnetic resonance imaging: a pictorial essay

Magnetic resonance imaging is an essential tool for the assessment of the scrotum, particularly in cases with inconclusive ultrasound findings. It has a great capacity to differentiate between intratesticular and extratesticular lesions, as well as between neoplastic and non-neoplastic lesions. By providing an accurate characterization of lesions, magnetic resonance imaging plays a crucial role in preoperative tumor staging and decision-making. This pictorial essay highlights the key non-neoplastic and neoplastic testicular pathologies, as evaluated by magnetic resonance imaging. The recognition of these pathologies underscores the role the radiologists play in the care of patients with scrotal lesions, by providing an appropriate evaluation of the relevant imaging characteristics.