American Board of Pathology (ABPath) Practice Test

Question: 1 / 400

A normal epididymis is usually ________ in comparison with the normal testicle.

Hyperechoic

Isoechoic

Hypoechoic

In normal ultrasound evaluations, the epididymis typically appears hypoechoic when compared to the normal testicle. The testicle usually has a more echogenic appearance due to its denser structure and the presence of seminiferous tubules. The lower echogenicity of the epididymis, which contains a less dense arrangement of cells and is composed primarily of a coiled, tubular structure responsible for sperm maturation and storage, leads to its classification as hypoechoic.

Understanding this distinction is crucial for interpreting scrotal ultrasound images accurately. When distinguishing between the two structures, the differences in echogenicity help radiologists and pathologists identify any abnormalities in the epididymis, such as inflammation, cysts, or tumors. Recognizing these patterns plays a vital role in the diagnostic process.

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Anechoic

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