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High-resolution ultrasonography is currently the imaging modality of choice for evaluation of the scrotum and its contents (Muttarak et al, 2001; Muttarak and Peh, 2006). The spreading pattern of tuberculosis is essential for imaging interpretation. The abnormality usu-ally begins at the epididymis, and then extends to the testis. This history is an important feature distinguishing infection from tumor. Because the pathogenesis of orchitis is usually caused by an infectious organism in the epididymis, a concur
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