Testicular Tuberculosis Without Epididymitis Simulating Neoplasm.

We present the case of a 47-year-old man with testicular tuberculosis without epididymal involvement that simulated neoplasm on sonography. The patient also had evidence of contralateral spermatic cord involvement. The diagnosis was made following transinguinal intrascrotal exploration and excisional biopsy of the left spermatic cord mass and right transinguinal radical orchiectomy. Histopathology showed caseating granulomatous inflammation, with positive cultures for Mycobacterium tuberculosis and the patient received antituberculous treatment with satisfactory recovery.

Fracture of the Penis: Demonstration by MRI with Surgical Correlation.

MRI of a 21-year-old man with a penile fracture demonstrated disruption of the tunica albuginea and adjacent hematoma. Both MRI and subsequent retrograde uretrogram showed that the urethra was not injured. The imaging findings were confirmed at surgery, and the penis was successfully repaired.