- Absence of flow into the left testis, including on power Doppler
- Small (2 x 2 cm) supernumerary testis inferior to the main (larger) left testis within the left scrotum
- Left hydrocoele
- Swirling of the left spermatic cord was seen on real time scanning (images not saved)
- Normal flow demonstrated to the solitary right testis
Ultrasound findings are consistent with left testicular torsion.
Given the time critical nature of the diagnosis, limited ultrasound views were saved and the findings were urgently conveyed to the treating medical team to facilitate urgent surgical exploration.