Findings are highly suggestive of bilateral large spermatocele formations with significant tubular ectasia of the rete testis.

Spermatoceles are seen as unilocular or rarely multilocular extra-testicular cysts caused by cystic dilatation of tubules of the efferent ductules in the head of the epididymis.

On ultrasound studies, they appear as well-defined epididymal cystic lesions, with low-level fine internal echoes, and posterior acoustic enhancement. Thin septations may be present.