E1865. Pitfalls and Practical Challenges in Imaging of the Pediatric Scrotum
  1. William Simpson; Icahn School of Medicine at Mount Sinai
  2. Humaira Chaudhry; Rutgers-New Jersey Medical School
  3. Henrietta Rosenberg; Icahn School of Medicine at Mount Sinai
Ultrasound (US) is the modality of choice for evaluation of the pediatric scrotum. It has been proven useful for assessment of a wide range of congenital, infectious, inflammatory, endocrine and neoplastic abnormalities in pediatric patients of all ages from the premature infant to young adults.

Educational Goals / Teaching Points
To present a wide spectrum of conditions that may affect the pediatric scrotum, how to limit the differential diagnosis and how to avoid common pitfalls.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Normal anatomy and imaging appearance of the scrotal structures. Sonographic technique for imaging various age groups including cryptorchidism, testicular torsion, epididymitis/orchitis, hydrocele, varicocele, microlithiasis, testicular neoplasms, scrotal trauma, and intersex conditions.

US is an excellent modality for the diagnosis and surveillance of pediatric scrotal pathology. With careful scanning and knowledge of the wide variety of pediatric scrotal abnormalities encountered in infants, children, adolescents, and young adults, improved decision-making can be accomplished so that appropriate and timely therapy can be instituted. However, radiologists must be aware of the potential pitfalls and the practical challenges of US imaging of the scrotum in the pediatric population.