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Answers on p742.
A 21 year old man was referred by his general practitioner for an ultrasound evaluation of bilateral testicular masses. The masses were insidious in onset, slow growing, and palpable. There were no other local signs. The patient was also under the care of an endocrinologist for congenital adrenal hyperplasia.
His current therapy included hormone replacement with oral steroids.
However the patient was non-compliant with regards to his medication. An ultrasound scan was performed as shown in figs 1 and 2.
What does the ultrasound scan show?
Given the patient’s history, what is the diagnosis?
Describe the pathophysiology of these lesions?
What is the role of imaging in the management of these lesions?