There are moments when a doctor knows their diagnosis has made a profound difference in a patient’s treatment. Often, the patient may never fully understand the complexities and challenges that went into reaching that conclusion. As Radiologists, we take pride in the behind-the-scenes work — the meticulous analysis and dedication that helps doctors make life-changing decisions.

This log book reflects a few of those moments, reminding us of the meaningful impact we make on patient care.

Thursday, 9 July 2026

Impending Testicular Infarction



Recognizing a Critical Change in Testicular Blood Flow

An Ultrasound Scrotum was performed for evaluation of a patient with testicular symptoms.

The examination revealed a bulky testis with abnormal vascular flow patterns, demonstrating reversed diastolic flow signals on Doppler assessment. These findings indicated compromised testicular perfusion and were suggestive of impending testicular infarction as a sequel to chronic orchitis.

Early recognition of altered vascular parameters on Doppler ultrasound is crucial, as changes in blood flow can provide important information about testicular viability and guide timely clinical management.

This case highlights the importance of a detailed scrotal ultrasound with Doppler evaluation, where subtle changes in vascularity can help identify patients at risk of serious complications.


Diagnosed by: Dr. Ayush Goel


SHIVI Imaging Centre

Digital X-Ray • Ultrasound • Colour Doppler • Advanced DEXA Scan • OPG • Mammography Centre

📍 #660, Sector 7, Near ITI College for Boys, Opposite Doctor’s Colony, Ambala City, Haryana, India

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