To Evaluate The Role of Usg in Scrotal Lesions

Abstract Background: Scrotal lesions encompass a wide spectrum of conditions ranging from benign inflammatory disorders to surgical emergencies and malignancies. Rapid and accurate diagnosis is essential for timely management. Ultrasonography (USG), with grayscale and color Doppler capabilities, is considered the imaging modality of choice due to its safety, accessibility, and diagnostic accuracy. Aim: To evaluate the diagnostic role of ultrasonography in scrotal lesions and correlate imaging findings with clinical, surgical, or pathological outcomes. Methods: A prospective observational study was conducted in the Department of Radiodiagnosis of a tertiary care teaching hospital from January 2024 to June 2025. Twenty-five male patients presenting with scrotal pain, swelling, or mass were included. All underwent grayscale and color Doppler ultrasonography using a high-frequency linear probe. Findings were documented and correlated with surgical or clinical outcomes when available.Results: Out of 25 patients, inflammatory lesions were most frequent (32%), followed by hydrocele (20%), torsion (12%), and varicocele (12%). Two cases (8%) of testicular malignancy and one case (4%) of microlithiasis were detected. Ultrasonography accurately identified lesion type and extent in 92% of cases when correlated with surgical or pathological outcomes. Conclusion: Ultrasonography is a rapid, reliable, and non-invasive diagnostic tool in scrotal pathology, making it indispensable in both acute and chronic clinical scenarios.