For many radiologists, requests for imaging evaluation of testicular or scrotal symptoms and physical exam findings may cause some degree of uneasiness, for two main reasons: first, the number of tumor entities and tumor-like lesions in the testes and scrotum is relatively large and their histopathologic classification is complex (Table 1) and second, case volume of scrotal studies for non-emergency indications may be relatively low in some centers. In this chapter, we provide basic strategies to extract information from imaging pertinent to some of the most commonly encountered clinical scenarios in the evaluation of the testes and scrotum.
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