Modality-Based (US, CT, MRI, PET-CT) Imaging - Review

Sonographically indeterminate scrotal masses: how MRI helps in characterization


  • Athina C. Tsili
  • Michele Bertolotto
  • Laurence Rocher
  • Ahmet Tuncay Turgut
  • Vikram Dogra
  • Mustafa Seçil
  • Simon Freeman
  • Jane Belfield
  • Michal Studniarek
  • Alexandra Ntorkou
  • Lorenzo E. Derchi
  • Raymond Oyen
  • Parvati Ramchandani
  • Subramaniyan Ramanathan
  • Jonathan Richenberg
  • European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group

Received Date: 22.10.2017 Accepted Date: 07.03.2018 Diagn Interv Radiol 2018;24(4):225-236

Magnetic resonance imaging (MRI) of the scrotum represents a useful supplemental imaging technique in the characterization of scrotal masses, particularly recommended in cases of nondiagnostic ultrasonographic findings. An accurate characterization of the benign nature of scrotal masses, including both intratesticular and paratesticular ones may improve patient management and decrease the number of unnecessary radical surgical procedures. Alternative treatment strategies, including follow-up, lesion biopsy, tumor enucleation, or organ sparing surgery may be recommended. The aim of this pictorial review is to present how MRI helps in the characterization of sonographically indeterminate scrotal masses and to emphasize the key MRI features of benign scrotal masses.