Varicocele: grade 4
Medical assessment for work. Left paratesticle mass. Cause?
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Multiple dilated serpingeous vessels superior to the upper pole of the left testicle. These measure upto 4mm even in the supine postion.
Avid doppler flow within. The appearances are exaggerated during standing and the Valsala maneourve. No flow reversal.
Normal right hemiscrotum.
This is the appearance of the so-called 'bag of worms' felt clinically on examination.
The veins were dilated even in the supine resting position in keeping with a Grade 4 varicocele.