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50-year-old with right sided epididymo-orchitis. Color Doppler sonogram of the right testicle and epididymis 2 days after admission demonstrates an enlarged (measuring 1.6 cm × 1.0 cm), hyperemic right epididymis (arrow) consistent with epididymitis. There has been development of a complex right hydrocele (arrowhead) without internal blood flow representing a pyocele.
