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A 27-year-old man who presented to the urology outpatient department of our hospital with primary infertility was referred for scrotal ultrasonography (USG). He had no scrotal pain, prior sexually transmitted diseases, scrotal trauma or surgery. Physical examination and blood investigations were normal. Semen analysis showed oligospermia (count of 10 million/mL) with a large fraction (>50%) of immotile sperms. B-mode USG revealed normal-sized bilateral testicles; however, the left testis showed multiple hypoechoic testicular lesions along with minimal fluid in the scrotal sac (figure 1A). The intratesticular lesions were homogeneous in size and diffusely scattered throughout the left testis, radiating towards the mediastinum testis. All the lesions demonstrated spontaneous colour flow on Doppler imaging, which …