Normal Scrotal Ultrasound Report Template
Normal scrotal ultrasound report template with testis measurements, symmetric Doppler flow, epididymis and varicocele wording.
EXAMINATION: Scrotal ultrasound with Doppler. CLINICAL HISTORY: [indication] COMPARISON: None available. TECHNIQUE: Real-time grayscale and color Doppler imaging of the scrotum. FINDINGS: Right testis: [x] x [x] x [x] cm. Homogeneous echotexture. Normal and symmetric color Doppler flow. No mass. Left testis: [x] x [x] x [x] cm. Homogeneous echotexture. Normal and symmetric color Doppler flow. No mass. Epididymides: Unremarkable bilaterally. Hydrocele: None. Varicocele: None. IMPRESSION: 1. Normal scrotal ultrasound with symmetric testicular perfusion.
Dictation notes
- Symmetry of flow is the torsion question — compare sides explicitly, in words.
- Any intratesticular mass is malignant until proven otherwise; an extratesticular one usually is not. The report should make the compartment unambiguous.
Frequently asked questions
What belongs in a normal scrotal ultrasound report?
A scrotal ultrasound report gives three-plane measurements of each testis, echotexture, and explicit color Doppler assessment with side-to-side comparison, plus the epididymides and the presence or absence of hydrocele and varicocele. The normal impression states normal scrotal ultrasound with symmetric testicular perfusion — the perfusion statement directly addresses the torsion question.
How does ultrasound assess for testicular torsion?
The torsion assessment is a comparison of color and spectral Doppler flow between the two testes, stated explicitly in words — absent or asymmetrically decreased intratesticular flow on the painful side is the key finding. Because partial or intermittent torsion can preserve some flow, the report should describe symmetry rather than merely noting that flow is present. Torsion is a surgical emergency, so the comparison belongs in the impression.
Why does intratesticular versus extratesticular location matter?
An intratesticular solid mass is considered malignant until proven otherwise, whereas most extratesticular lesions — epididymal cysts, spermatoceles, adenomatoid tumors — are benign. The report must therefore make the compartment unambiguous for any scrotal lesion, since that single distinction drives the difference between tumor workup with markers and urology referral versus reassurance or routine follow-up.
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