Kartik S. Jhaveri, MD, Waseem Mazrani, FRCR(UK), Tanya P

Slides:

Advertisements

Similar presentations

Bladder Diverticuli May be congenital May be congenital Usually secondary to chronic obstruction of bladder outflow. Usually secondary to chronic obstruction.

Advertisements

Male Reproductive System Laboratory Orientation

MALE INFERTILITY DR.KANNAN JUNIOR CONSLTANT DEPT OF RADIOLOGY &IMAGING KMCH.

Intraductal Papillary Neoplasm of the Bile Duct: Multimodality Imaging Appearances and Pathological Correlation Csilla Egri, BSc, MSc, Wan Wan Yap, MBChB,

Multicystic Dysplastic Kidney Disease Presenting With a Single Large Cyst in a Fetus– Anatomical Basis and Radiological Aspects Fong-Fong Lim, Teng-Fu.

Ultrasound, Computed Tomography, and Magnetic Resonance Imaging of Ovarian Vein Thrombosis in Obstetrical and Nonobstetrical Patients Vivek Virmani,

Computed Tomography Angiography in Acute Gastrointestinal and Intra-abdominal Bleeding in Children: Preliminary Experience Dimitri A. Parra, MD, Govind.

Imaging of Ovarian Teratomas in Children: A 9-Year Review

Acute Kidney Injury in a Patient With Unilateral Ureteral Obstruction

Multimodal Imaging in the Diagnosis of Large Vessel Vasculitis: A Pictorial Review U. Salati, MBChB, MRCP(UK), Ceara Walsh, MBChB, MRCPI, Darragh Halpenny,

Nonvascular Pediatric Interventional Radiology

Harika Tirumani, MBBS, Michael H

Current Status of Breast Ultrasound

Pictorial Essay: Tumours and Pseudotumours of Sacrum

Combined jugular and subclavian vein thrombosis following assisted reproductive technology—new observation Ophira Salomon, M.D., Ginette Schiby, M.D.,

Pictorial Essay: Cysts and Cyst-like Lesions of the Jaws

Inflammatory Pseudotumours in the Abdomen and Pelvis: A Pictorial Essay Tony Sedlic, MD, Elena P. Scali, MD, Wai-Kit Lee, MD, Sadhna Verma, MD, Silvia.

Imaging of Fibroepithelial Lesions: A Pictorial Essay

CRISPS: A Pictorial Essay of an Acronym to Interpreting Metastatic Head and Neck Lymphadenopathy Adam A. Dmytriw, MSc, Ahmed El Beltagi, MD, Eric Bartlett,

Renal Transplant Complications: Diagnostic and Therapeutic Role of Radiology Mehmet Fatih Inci, MD, Fuat Ozkan, MD, Teik Choon See, MB, FRCS, FRCR, Servet.

Compression of the Celiac Artery by the Median Arcuate Ligament: Multidetector Computed Tomography Findings and Characteristics Ozdil Baskan, MD, Emre.

Benign Lesions That Mimic Thyroid Malignancy on Ultrasound

Extrapulmonary Tuberculosis: Imaging Features Beyond the Chest

Primary Testicular Lymphoma

Diagnostic Performance of Ultrasound for Macroscopic Hematuria in the Era of Multidetector Computed Tomography Urography Julien Rhéaume-Lanoie, MD, Luigi.

Aysel Türkvatan, MD, Ayşe Erden, MD, Mustafa Seçil, MD, Mehmet A

Abdominal Hemangiomas: A Pictorial Review of Unusual, Atypical, and Rare Types Vijayanadh Ojili, MD, Sree Harsha Tirumani, MD, Gowthaman Gunabushanam,

Hélène Peyrot, MD, Pierre-François Montoriol, MD, Michel Canis, MD

Clinical Impact of Multidetector Row Computed Tomography Before Bronchial Artery Embolization in Patients With Hemoptysis: A Prospective Study Mudit.

Multimodality Imaging of Tumour Thrombus

Multidetector Computed Tomography of Superior Mesenteric Artery: Anatomy and Pathologies Yan E. Zhao, MD, Zhen Jane Wang, MD, Chang Sheng Zhou, BS, Fei.

Linda Kocovski, MBBS, Naveen Parasu, MBBS, John P

Computed Tomography Findings of Kommerell Diverticulum

CRISPS: A Pictorial Essay of an Acronym to Interpreting Metastatic Head and Neck Lymphadenopathy Adam A. Dmytriw, MSc, Ahmed El Beltagi, MD, Eric Bartlett,

Cross-Sectional Imaging of Small Bowel Malignancies

Pancreatic and Extrapancreatic Features in Autoimmune Pancreatitis

Quiz page answers january 2004

Cross-Sectional Imaging of Small Bowel Malignancies

Biology 322 Human Anatomy I

Case of the Month # 168: Seminal Vesicle Cysts with Ipsilateral Renal Dysgenesis Jason R. Kovac, MSc, PhD, MD, Dimitri Golev, MD, Vajid Khan, MD, Marc.

Low-Grade Adenosquamous Carcinoma of the Breast: Imaging and Histopathologic Characteristics of This Rare Disease Elena P. Scali, MD, Rola H. Ali, MD,

Is Oral Contrast Necessary for Multidetector Computed Tomography Imaging of Patients With Acute Abdominal Pain? Abdullah Alabousi, MD, Michael N. Patlas,

ACR Select Identifies Inappropriate Underutilization of Magnetic Resonance Imaging in British Columbia Kathleen Eddy, MD, Adam Beaton, MA, Richard Eddy,

The Utility of Multidetector Computed Tomography for Detection of Parathyroid Disease in the Setting of Primary Hyperparathyroidism Dorota D. Linda,

Combined jugular and subclavian vein thrombosis following assisted reproductive technology—new observation Ophira Salomon, M.D., Ginette Schiby, M.D.,

Abdominal Extraosseous Lesions of Multiple Myeloma: Imaging Findings

Retrospective Review of Efficacy of Radiofrequency Ablation for Treatment of Colorectal Cancer Liver Metastases From a Canadian Perspective Benjamin.

The Value of “Liver Windows” Settings in the Detection of Small Renal Cell Carcinomas on Unenhanced Computed Tomography Kamal Sahi, MD, Stuart Jackson,

Answer to Case of the Month #163

Imaging and angiography in male factor infertility

Answer to Case of the Month #155

Symptomatic congenital saccular aneurysm of the inferior vena cava associated with a circumaortic left renal vein Elrasheed Osman, FRCSI, George Oreopoulos,

The Role of Contrast-Enhanced Ultrasound in Guiding Radiofrequency Ablation of Hepatocellular Carcinoma Andy K.W. Chan, MD, FRCPC, Chris Hegarty, MB,

Erik E. Dowden, MD, Adeboye O. Osunkoya, MD, Deborah A

Imaging of Traumatic Diaphragmatic Rupture: Evaluation of Diagnostic Accuracy at a Level 1 Trauma Centre Vincent A. Leung, MD, Michael N. Patlas, MD,

Dellano D. Fernandes, MD, FRCPC, Paul B. Shyn, MD, Stuart G

Answer to Case of the Month #144

Answer to Case of the Month #156

Case of the Month #155 Canadian Association of Radiologists Journal

Anatoly Shuster, MD, Mehran Midia, MD

Applicability of Magnetic Resonance Imaging in the Assessment of Fetal Urinary Tract Malformations Tatiana Mendonça Fazecas, MD, Edward Araujo Júnior,

Case of the Month #172: Pineal Mixed Germ Cell Tumour with Obvious Teratomatous and “Harbored” Germinomatous Components Anatoly Shuster, MD, Hyder Al-Attar,

Radiologic and Pathological Correlation of Staging of Rectal Cancer with 3 Tesla Magnetic Resonance Imaging Parangama Chatterjee, MD, Anu Eapen, DNB,

Case of the Month #173: Splenogonadal Fusion

Case of the Month #152 Canadian Association of Radiologists Journal

Yijie Hu, MD, PhD, Qianjin Zhong, MD, PhD

Vasopressin antagonists in polycystic kidney disease

Case of the Month #148 Canadian Association of Radiologists Journal

Volume 72, Issue 12, (December 2007)

Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis Douglas W. Jones, MD, Combiz Rezayat, MD, Patricia.

Presentation transcript:

The Role of Cross-sectional Imaging in Male Infertility: A Pictorial Review Kartik S. Jhaveri, MD, Waseem Mazrani, FRCR(UK), Tanya P. Chawla, FRCPC(C), Rafiq Filobbos, FRCR(UK), Ants Toi, Keith Jarvi, FRCS(C) Canadian Association of Radiologists Journal Volume 61, Issue 3, Pages 144-155 (June 2010) DOI: 10.1016/j.carj.2010.01.002 Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 1 Flow chart, demonstrating the types and management of azoospermia. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 2 Transrectal ultrasound transverse image of a normal prostate gland, demonstrating the urethra (white arrowhead), transitional zone (long white arrow), central zone (black arrow), and peripheral zone (short white arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 3 Transrectal ultrasound sagittal image, demonstrating the normal left seminal vesicle (black arrow). The fibromuscular stroma of the prostate is indicated by the black short arrows. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 4 (A) Transrectal ultrasound axial image, showing the normal vasa deferentia (VD) and seminal vesicles (SV). (B) Transrectal ultrasound sagittal image, demonstrating the normal right vas deferens (black arrow) and right seminal vesicle (white arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 5 (A and B) Transrectal ultrasound in sagittal and axial planes, demonstrating ejaculatory ducts (white arrows). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 6 Pelvic magnetic resonance coronal (A) and axial T2 (B) images showing normal (right) seminal vesicle (white arrow) and vas deferens (black arrows). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 7 Endorectal magnetic resonance image: axial images, showing the ejaculatory ducts (black arrows). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 8 Endorectal magnetic resonance image: coronal plane, showing seminal vesicle (black arrow) and vas deferens (white arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 9 Left varicocele, sagittal grey scale ultrasound images, demonstrating a dilated spermatic vein (A), which increased in size after Valsalva manoeuvre (B). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 10 Large varicocele with an intratesticular component, demonstrating Doppler colour flow. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 11 (A) Scrotal ultrasound, showing cystic dilatation of the rete testis (black arrow). (B) Note the absence of Doppler colour flow, excluding a varicocele. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 12 Pelvic magnetic resonance: coronal (A) and axial (B) images, showing single testis (white arrow in A) and undescended left testis in pelvis (black arrowhead in B). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 13 Pelvic magnetic resonance image: coronal (A) and axial (B) images, showing tumour arising in a left undescended testis (black arrowhead in [A]). Note absent left spermatic cord (black arrow in [B]) and normal right side cord (white arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 14 (A and B) Scrotal ultrasound, showing epididymo-orchitis. Note the enlarged, hypoechoic right epididymis (white arrow), which was found to be hyperemic. In (B), the left testis appears hypoechoic and heterogenous (arrowhead), which reflects associated orchitis. The left epididymis is also enlarged and hypoechoic (black arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 15 Scrotal ultrasound, showing bilateral chronic epididymitis with calcification (tuberculosis in this case). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 16 Testicular ultrasound, showing an atrophic heterogenous right testis (black arrow), after previous orchitis in transverse plane. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 17 (A and B) Testicular ultrasound, showing a solid vascular lesion (white arrow) in the right testis. This was shown at pathology to be a Leydig cell tumour, which can cause testicular failure by the production of estrogen and negative feedback on the pituitary axis. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 18 Testicular ultrasound, demonstrating diffuse bilateral testicular microlithiasis on this transverse image of both testes. The white arrow shows a discrete focus in the left testicle. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 19 Male reproductive anatomy, including the excretory ductal system. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 20 Transrectal ultrasound, showing atretic seminal vesicles (white arrows) and vasa deferentia (black arrowheads) bilaterally in a patient with congenital bilateral absence of the vas deferens. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 21 (A) Transrectal ultrasound, showing absent left seminal vesicle. (B) Computed tomography, showing absent left kidney. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 22 (A) Computed tomography, demonstrating an absent left kidney. (B and C) Coronal magnetic resonance images, showing ectopic insertion of left ureteric remnant (white arrow in [B]) into the left seminal vesicle with cyst (black arrows in band [C]). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 23 Axial (A) and coronal (B) pelvic magnetic resonance images, showing congenital left seminal vesicle cyst (black arrow) and hypoplastic right seminal vesicle (white arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 24 Pelvic ultrasound, showing midline Mullerian cyst (white arrow), which extends above the prostate base. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 25 Transrectal ultrasound transverse image (A) and computed tomography axial image (B), showing a small midline utricle cyst (black arrow) within the prostate gland. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 26 Transrectal ultrasound transverse (A) and sagittal (B) images, showing a small left ejaculatory duct cyst (black arrow). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 27 (A and B) Transrectal ultrasound axial images, demonstrating right ejaculatory duct cyst (white arrow), causing right seminal vesicle (black arrow) obstruction and cyst formation. Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 28 Transrectal ultrasound showing ejaculatory duct calcifications (A) and resultant obstruction, causing cystic dilatation of seminal vesicles (B). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 29 Computed tomography (A) and transrectal ultrasound (B) images, demonstrating polycystic kidney and liver disease (A), with mega seminal vesicles (B). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions

Figure 30 Ultrasound of left testicle, demonstrating proximal epididymal obstruction, white arrow and dilatation (A) and dilatation of the rete testis, black arrow in (B) (which was bilateral). Canadian Association of Radiologists Journal 2010 61, 144-155DOI: (10.1016/j.carj.2010.01.002) Copyright © 2010 Canadian Association of Radiologists Terms and Conditions