Presentation
Decreased libido.
Patient Data
Age: 60 years
Gender: Male
From the case:
Prominent transmediastinal artery - testis
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There is a hypoechoic band-like zone obliquely crossing the upper pole of right testis. On Doppler study, avid vascularity is noted with biphasic arterial waveform consistent with a crossing arterial channel.
Case Discussion
A crossing arterial channel through testicular parenchyma is likely a prominent transmediastinal artery. Crossing vascular structures are one of the causes of striated appearance of the testis.
Differential diagnoses for this appearance include intratesticular varicocele and testicular arteriovenous malformation.
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