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VARICOCELE

Few dilated venous channels (2 - 3 mm) are seen at upper pole of left testis showing reflux only during valsalva maneuver without scrotal deformation or testicular hypotrophy.

BOSNIAK TYPE IV

A well defined partially exophytic lesion (measuring ~ 24 x 29 x 24 mm) with internal enhancing components is seen in the lower pole. No obvious internal calcification or fat component seen. No obvious vascular extension is seen. Fat planes with the adjacent structures are maintained. No size significant regional lymphadenopathy noted. 


likely corresponding to Bosniak IV category. Suggested tissue diagnosis.

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