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The Epididymis: An Ultrasound Primer-What the Radiologist Needs to Know.
Melody Lin1, Kamran Ali2, Sharon Gordon2
1Icahn School of Medicine at Mount Sinai, New York, USA. melody.lin@mountsinai.org.
Abdominal Radiology (New York)
|June 12, 2025
Summary
This review details how imaging, primarily ultrasound, diagnoses diverse epididymal pathologies. It correlates clinical symptoms with imaging findings to differentiate benign from malignant conditions, aiding radiologists.
Area of Science:
- Male reproductive system imaging
- Diagnostic radiology
- Genitourinary pathology
Background:
- The epididymis is vital for sperm maturation, transport, and storage.
- Epididymal pathologies present with overlapping symptoms like scrotal pain, swelling, and infertility.
- Accurate diagnosis requires effective imaging modalities.
Purpose of the Study:
- To provide an overview of epididymal pathologies.
- To correlate clinical presentation with multimodal imaging findings.
- To enhance diagnostic confidence in assessing epididymal disorders.
Main Methods:
- Pictorial review correlating clinical presentation with imaging.
- Primary focus on ultrasound and Doppler ultrasound.
- Inclusion of MRI and CT for specific indications.
Main Results:
- Ultrasound is the primary modality for epididymal abnormalities.
- Doppler ultrasound aids in inflammatory and neoplastic conditions.
- MRI and CT are used for complex lesions and staging.
Conclusions:
- Multimodal imaging is essential for diagnosing epididymal pathologies.
- Characteristic imaging features differentiate benign from malignant conditions.
- This review improves clinical decision-making for epididymal disorders.
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