Advertisement

Male Pelvis

  • Mukesh G. Harisinghani
  • Arumugam Rajesh
Chapter
  • 1.3k Downloads

Abstract

60 year old man with elevated PSA and prior history of intravesical BCG for bladder carcinoma. Imaging Findings Transrectal ultrasound shows an isoechoic lesion in left lobe of the prostate gland with a contour deformity along the left posterolateral margin of prostate (Fig. 7.1). Contrast enhanced CT shows the same area to be hypo enhancing with loss of the left recto-prostatic angle (Fig. 7.2).

Keywords

Male Pelvis Isoechoic Lesions Deformable Contour Bladder Carcinoma Prostate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Readings by Case

Case 7.1

  1. Bour L, Schull A, Delongchamps NB, et al. Multiparametric MRI features of granulomatous prostatitis and tubercular prostate abscess. Diagn Interv Imaging. 2013;94(1):84–90.Google Scholar
  2. Gupta N, Mandal AK, Singh SK. Tuberculosis of the prostate and urethra: a review. Indian J Urol. 2008;24(3):388–91.Google Scholar
  3. Suzuki T, Takeuchi M, Naiki T, et al. MRI findings of granulomatous prostatitis developing after intravesical Bacillus Calmette–Guérin therapy. Clin Radiol. 2013;68(6):595–9.Google Scholar
  4. Warrick J, Humphrey PA. Nonspecific granulomatous prostatitis. J Urol. 2012;187:2209–10.PubMedCrossRefGoogle Scholar

Case 7.2

  1. Bour L, Schull A, Delongchamps N, Beuvon F, Muradyan N, Legmann P, et al. Multiparametric MRI features of granulomatous prostatitis and tubercular prostate abscess. Diagn Interv Imaging. 2013;94:84–90.Google Scholar
  2. Gupta N, Mandal AK, Singh SK. Tuberculosis of the prostate and urethra: a review. Indian J Urol. 2008;24:388–91.Google Scholar
  3. Suzuki T, Takeuchi M, Naiki T, Kawai N, Kohri K, Hara M, et al. MRI findings of granulomatous prostatitis developing after intravesical Bacillus Calmette–Guérin therapy. Clin Radiol. 2013;68:595–9.Google Scholar
  4. Warrick J, Warrick J, Humphrey PA, Humphrey PA. Nonspecific granulomatous prostatitis. J Urol. 2012;187:2209–10.PubMedCrossRefGoogle Scholar

Case 7.3

  1. Hedgire SS, Eberhardt SC, Borczuk R, McDermott S, Harisinghani MG. Interpretation and reporting multiparametric prostate MRI: a primer for residents and novices. Abdom Imaging. 2014;39(5):1036–51.Google Scholar
  2. Verma S, Rajesh A. A clinically relevant approach to imaging prostate cancer. Am J Roentgenol. 2011;196:S1–10.CrossRefGoogle Scholar
  3. Yu J, Fulcher AS, Turner MA, Cockrell CH, Cote EP, Wallace TJ. Prostate cancer and its mimics at multiparametric prostate MRI. Br J Radiol. 2014;87:20130659.Google Scholar

Case 7.4

  1. Hedgire SS, Hedgire ES, Oei TN, McDermott S, Cao K, Patel MZ, et al. Multiparametric magnetic resonance imaging of prostate cancer. Indian J Radiol Imaging. 2012;22:160–9.Google Scholar
  2. Hedgire SS, Eberhardt SC, Borczuk R, McDermott S, Harisinghani MG. Interpretation and reporting multiparametric prostate MRI: a primer for residents and novices. Abdom Imaging. 2014.Google Scholar
  3. Hegde JV, Mulkern RV, Panych LP, Fennessy FM, Fedorov A, Maier SE, et al. Multiparametric MRI of prostate cancer: an update on state-of-the-art techniques and their performance in detecting and localizing prostate cancer. J Magn Reson Imaging. 2013;37:1035–54.PubMedCentralPubMedCrossRefGoogle Scholar
  4. Yu J, Fulcher AS, Turner MA, Cockrell CH, Cote EP, Wallace TJ. Prostate cancer and its mimics at multiparametric prostate MRI. Br J Radiol. 2014;87:20130659.Google Scholar

Case 7.5

  1. Arora SS, Breiman RS, Webb EM, et al. CT and MRI of congenital anomalies of the seminal vesicles. AJR Am J Roentgenol. 2008;189(1):130–5.Google Scholar
  2. Kim B, Kawashima A, Ryu JA, et al. Imaging of the seminal vesicle and vas deferens. Radiographics. 2009;29(4):1105–21.Google Scholar
  3. Saxon P, Badler RL, Desser TS, et al. Segmental testicular infarction: report of seven new cases and literature review. Emerg Radiol. 2012;19(3):217–23.Google Scholar

Case 7.6

  1. Arora SS, Breiman RS, Webb EM, et al. CT and MRI of congenital anomalies of the seminal vesicles. AJR Am J Roentgenol. 2008;189(1):130–5.Google Scholar
  2. Kim B, Kawashima A, Ryu JA, et al. Imaging of the seminal vesicle and vas deferens. Radiographics. 2009;29(4):1105–21.Google Scholar
  3. Saxon P, Badler RL, Desser TS, et al. Segmental testicular infarction: report of seven new cases and literature review. Emerg Radiol. 2012;19(3):217–23.Google Scholar

Case 7.7

  1. Jung YY, Kim JK, Cho KS. Genitourinary tuberculosis: comprehensive cross-sectional imaging. AJR Am J Roentgenol. 2005;184(1):143–50.PubMedCrossRefGoogle Scholar
  2. Kim B, Kawashima A, Ryu JA, et al. Imaging of the seminal vesicle and vas deferens. Radiographics. 2009;29(4):1105–21.Google Scholar

Case 7.8

  1. Kim B, Kawashima A, Ryu JA, et al. Imaging of the seminal vesicle and vas deferens. Radiographics. 2009;29(4):1105–21.Google Scholar

Case 7.9

  1. Egevad L, Ehrnstrom R, Hakansson U, et al. Primary seminal vesicle carcinoma detected at transurethral resection of prostate. Urology. 2007;69:778311–3.CrossRefGoogle Scholar
  2. Kim B, Kawashima A, Ryu JA, et al. Imaging of the seminal vesicle and vas deferens. Radiographics. 2009;29(4):1105–21.Google Scholar
  3. Ohmori T, Okada K, Tabei R, et al. CA 125-producing adenocarcinoma of the seminal vesicle. Pathol Int. 1994;44:333–7.PubMedCrossRefGoogle Scholar
  4. Tarjan M, Ottlecz I, Tot T. Primary adenocarcinoma of the seminal vesicle. Indian J Urol. 2009;25(1):143–5.PubMedCentralPubMedCrossRefGoogle Scholar

Case 7.10

  1. Krishnaswami S, Fonnesbeck C, Penson D, et al. Magnetic resonance imaging for locating nonpalpable undescended testicle: a meta-analysis. Pediatrics. 2013;131(6):31908–16.CrossRefGoogle Scholar
  2. Özden E, Turgut AT, Dogra VS. Imaging the undescended testis. In: Scrotal pathology. Berlin/Heidelberg: Springer; 2012. p. 301–12.Google Scholar
  3. Tasian GE, Copp HL, Baskin LS. Diagnostic imaging in cryptorchidism: utility, indications, and effectiveness. J Pediatr Surg. 2011;46(12):2406–13.PubMedCentralPubMedCrossRefGoogle Scholar

Case 7.11

  1. Avery LL, Scheinfeld MH. Imaging of penile and scrotal emergencies. Radiographics. 2013;33(3):721–40.Google Scholar
  2. Shah A, Kooiman GG, Sidhu PS. Imaging acute scrotal pain in adults-2: inflammation and other disorders. In: Scrotal pathology. Berlin/Heidelberg: Springer; 2012. p. 111–24.Google Scholar

Case 7.12

  1. Berman JM, Beidle TR, Kunberger LE, et al. Sonographic evaluation of acute intrascrotal pathology. AJR Am J Roentgenol. 1996;166(4):857–61.PubMedCrossRefGoogle Scholar
  2. Dogra VS, Gottlieb RH, Rubens DJ, et al. Benign intratesticular cystic lesions: US features. Radiographics. 2001;21 Spec No suppl 1:S273–81.PubMedCrossRefGoogle Scholar
  3. Yang DM, Yoon MH, Kim HS, et al. Comparison of tuberculous and pyogenic epididymal abscesses: clinical, gray-scale sonographic, and color Doppler sonographic features. AJR Am J Roentgenol. 2001;177(5):1131–5.PubMedCrossRefGoogle Scholar

Case 7.13

  1. Avery LL, Scheinfeld MH. Imaging of penile and scrotal emergencies. Radiographics. 2013;33(3):721–40.Google Scholar
  2. Bertolotto M, et al. Imaging scrotal trauma. In: Scrotal pathology. Berlin/Heidelberg: Springer; 2012. p. 73–84.CrossRefGoogle Scholar
  3. Valentino M, et al. Scrotal trauma. In: Abdominal imaging. Berlin/Heidelberg: Springer; 2013. p. 1887–96.CrossRefGoogle Scholar

Case 7.14

  1. Aso C, et al. Gray-scale and color Doppler sonography of scrotal disorders in children: an update. Radiographics. 2005;25(5):1197–214.PubMedCrossRefGoogle Scholar
  2. Turgut AT, Dogra VS. Imaging acute scrotal pain in adults: torsion of the testis and appendages. In: Scrotal pathology. Berlin/Heidelberg: Springer; 2012. p. 99–109.Google Scholar

Case 7.15

  1. Aquino M, Nghiem H, Jafri SZ, et al. Segmental testicular infarction sonographic findings and pathologic correlation. J Ultrasound Med. 2013;32(2):365–72.PubMedGoogle Scholar
  2. Fernández-Pérez GC, Tardaguila FM, Velasco M, et al. Radiologic findings of segmental testicular infarction. AJR Am J Roentgenol. 2005;184(5):1587–93.PubMedCrossRefGoogle Scholar
  3. Saxon P, Balder RL, Desser TS, et al. Segmental testicular infarction: report of seven new cases and literature review. Emerg Radiol. 2012;19(3):217–23.Google Scholar

Case 7.16

  1. Bird K, Rosenfield AT. Testicular infarction secondary to acute inflammatory disease: demonstration by B-scan ultrasound. Radiology. 1984;152:785–8.PubMedCrossRefGoogle Scholar
  2. Vijayaraghavan SB. Sonographic differential diagnosis of acute scrotum: real-time whirlpool sign, a key sign of torsion. J Ultrasound Med. 2006;25(5):563–74.PubMedGoogle Scholar

Case 7.17

  1. Cayan S, Shavakhabov S, Kadioglu A. Treatment of palpable varicocele in infertile men: a meta-analysis to define the best technique. J Androl. 2009;30(1):33–40.PubMedCrossRefGoogle Scholar
  2. Dogra VS, Gottlieb RH, Oka M, et al. Sonography of the scrotum. Radiology. 2003;227(1):18–36.PubMedCrossRefGoogle Scholar
  3. Liguori G, et al. Imaging the infertile male-1: varicocele. In: Scrotal pathology. Berlin/Heidelberg: Springer; 2012. p. 261–73.Google Scholar

Case 7.18

  1. Bhosale PR, Patnana M, Viswanathan C, et al. The inguinal canal: anatomy and imaging features of common and uncommon masses. Radiographics. 2008;28(3):819–35.PubMedCrossRefGoogle Scholar
  2. Singh AK, Kao S, D’Allesandro M, et al. Case 164: funicular type of spermatic cord hydrocele. Radiology. 2010;257(3):890–2.PubMedCrossRefGoogle Scholar
  3. Woodward PJ, Schwab CM, Sesterhenn IA. From the archives of the AFIP extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics. 2003;23(1):215–40.Google Scholar

Case 7.19

  1. Al-Jabri T, Misra S, Maan ZN, et al. Ultrasonography of simple intratesticular cysts: a 13 year experience in a single centre. Diagn Pathol. 2011;6:24.PubMedCentralPubMedCrossRefGoogle Scholar
  2. Martinez-Berganza MT, Sarria L, Cozcolluela R, et al. Cysts of the tunica albuginea: sonographic appearance. AJR Am J Roentgenol. 1998;170(1):183–5.PubMedCrossRefGoogle Scholar
  3. Valentino M, et al. Imaging scrotal lumps in adults-2: cysts and fluid collections. In: Scrotal pathology. Berlin/Heidelberg: Springer; 2012. p. 179–89.Google Scholar
  4. Woodward PJ, Schwab CM, Sesterhenn IA. From the archives of the AFIP extratesticular scrotal masses: radiologic-pathologic correlation. Radiographics. 2003;23(1):215–40.Google Scholar

Case 7.20

  1. Arellano CM, Kozakewich HP, Diamond D, et al. Testicular epidermoid cysts in children: sonographic characteristics with pathological correlation. Pediatr Radiol. 2011;41(6):683–9.PubMedCrossRefGoogle Scholar
  2. Loya AG, Said JW, Grant EG. Epidermoid cyst of the testis: radiologic-pathologic correlation. Radiographics. 2004;24 Suppl 1:S243–6.PubMedCrossRefGoogle Scholar
  3. Park SB, Lee WC, Kim JK, et al. Imaging features of benign solid testicular and paratesticular lesions. Eur Radiol. 2011;21(10):2226–34.PubMedCrossRefGoogle Scholar

Case 7.21

  1. Richenberg J, Brejt N. Testicular microlithiasis: is there a need for surveillance in the absence of other risk factors? Eur Radiol. 2012;22(11):2540–6.PubMedCrossRefGoogle Scholar
  2. Tan M-H, Eng C. Testicular microlithiasis: recent advances in understanding and management. Nat Rev Urol. 2011;8(3):153–63.PubMedCrossRefGoogle Scholar

Case 7.22

  1. Kreydin EI, Barrisford GW, Feldman AS, et al. Testicular cancer: what the radiologist needs to know. AJR Am J Roentgenol. 2013;200(6):1215–25.PubMedCrossRefGoogle Scholar
  2. Krohmer SJ, McNulty NJ, Schned AR. Testicular seminoma with lymph node metastases. Radiographics. 2009;29(7):2177–83.PubMedCrossRefGoogle Scholar
  3. Woodward PJ, Sohaev R, O’Donoghue MJ, et al. From the archives of the AFIP tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics. 2002;22(1):189–216.Google Scholar

Case 7.23

  1. Comiter CV, Renshaw AA, Benson CB, et al. Burned-out primary testicular cancer: sonographic and pathological characteristics. J Urol. 1996;156(1):85–8.PubMedCrossRefGoogle Scholar
  2. Fabre E, Jira H, Izard V, et al. ‘Burned-out’ primary testicular cancer. BJU Int. 2004;94(1):74–8.PubMedCrossRefGoogle Scholar
  3. Tasu JP, Faye N, Eschwege P, et al. Imaging of burned-out testis tumor five new cases and review of the literature. J Ultrasound Med. 2003;22(5):515–21.PubMedGoogle Scholar

Case 7.24

  1. Morichetti D, Mazzucchelli R, Lopez-Beltran A, et al. Secondary neoplasms of the urinary system and male genital organs. BJU Int. 2009;104(6):770–6.PubMedCrossRefGoogle Scholar
  2. Verma N, Lazarchick J, Gudena V, et al. Testicular lymphoma: an update for clinicians. Am J Med Sci. 2008;336(4):336–41.PubMedCrossRefGoogle Scholar
  3. Woodward PJ, Sohaev R, O’Donoghue MJ, et al. From the archives of the AFIP tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics. 2002;22(1):189–216.Google Scholar

Case 7.25

  1. Bassett J, Rajfer J. Diagnostic and therapeutic options for the management of ischemic and nonischemic priapism. Rev Urol. 2010;12(1):56–63.PubMedCentralPubMedGoogle Scholar
  2. Halls JE, Patel DV, Patel U. Priapism: pathophysiology and the role of the radiologist. Br J Radiol. 2012;85(Spec No 1):S79–85.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Salonia A, Eardley I, Giuliano F, et al. European Association of Urology guidelines on priapism. Eur Urol. 2014;65(2):480–9.PubMedCrossRefGoogle Scholar

Case 7.26

  1. Bertolotto M, Pavlica P, Serafini G, et al. Painful penile induration: imaging findings and management. Radiographics. 2009;29(2):477–93.PubMedCrossRefGoogle Scholar
  2. Kalokairinou K, Konstantinidis C, Domazou M, et al. US imaging in Peyronie’s disease. J Clin Imaging Sci. 2012;2:63.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Pavlica P, et al. Peyronie’s disease. In: Abdominal imaging. Berlin/Heidelberg: Springer; 2013. p. 1947–60.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • Mukesh G. Harisinghani
    • 1
  • Arumugam Rajesh
    • 2
  1. 1.Department of RadiologyHarvard Medical School Massachusetts General HospitalBostonUSA
  2. 2.Department of RadiologyUniversity Hospitals of Leicester NHS Tr Leicester General HospitalLeicesterUK

Personalised recommendations