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(a) Ultrasound showing a heterogeneous hypoechoic lesion 2 weeks after vasectomy reversal, considered a post-surgical haematoma. (b) Follow-up ultrasound at 3 months demonstrates a discrete low attenuation intratesticular lesion, which was concerning for malignancy. (c) Percutaneous needle biopsy of the lesion, which revealed peritubular fibrosis with scattered inflammatory change but no malignancy.
