Patient's question:
Detailed medical condition and consultation purpose:Bilateral testicular positions are normal, with smooth surfaces and uniform internal echoes. The left testis measures approximately 4.1×2.6×1.8 cm, with a thickened epididymal head of about 0.7 cm, showing uniform echoes and not retracted. A cystic structure measuring about 0.2×0.3 cm is visible within the tunica vaginalis (highly likely to be an epididymal appendage). The right testis measures approximately 4.0×2.6×2.0 cm; the epididymal head is thickened by about 0.9 cm, with uniform internal echoes. A liquid-filled dark area with a depth of about 1.2 cm is observed in the left tunica vaginalis. A liquid-filled dark area with a depth of about 0.8 cm is visible in the right tunica vaginalis. Bilateral spermatic cords
Doctor's answer:
。，。Acute orchitis presents with sudden onset, high fever, elevated white blood cells, swelling and pain in the affected scrotum, a heavy sensation, and radiating pain in the lower abdomen and groin, which worsens when standing or walking. The affected epididymis is swollen and tender to touch. When the inflammation is extensive, both the epididymis and testis become swollen, and their boundaries become indistinct, a condition known as orchitis.