Hydrocele Diagnosis and Imaging

Clinical and Imaging Guidelines

• The American College of Radiology recommends scrotal ultrasound as the definitive imaging modality when clinical findings are equivocal or when underlying pathology needs to be excluded, particularly in cases of uncertain clinical diagnosis 1
• According to the American College of Radiology guidelines, ultrasound is the imaging modality of choice for palpable scrotal abnormalities when imaging is required 1
• Scrotal ultrasonography is mandatory in situations where the clinical diagnosis is uncertain, to rule out underlying testicular solid masses or to differentiate simple hydrocele from underlying pathology 1