"Testicular lipomatosis is a rare condition characterised by homogeneously hyperechoic non-shadowing lesions within the testes on ultrasound without flow on colour Doppler. It is seen as a component of PTEN hamartoma tumour syndromes which includes:"
"Mostly seen as incidental findings in patients with PTEN hamartoma tumour syndrome. It may be a cause of subfertility."
"Leydig cell hyperplasia"
"granulomatous diseases (TB, sarcoidosis)"
"Usually, no treatment is required. It is not possible to confirm the stability of these lesions on ultrasound as they are too numerous. There is no evidence to suggest that lesions are premalignant."
"show associated haemorrhage, fibrosis, calcification and vascularity on ultrasound, distortion of the tunica albuginea and are asynchronous even if bilateral"