Preschooler with painless right scrotal mass for 1 month

US of paratesticular rhabdomyosarcoma
Sagittal color doppler US of the left scrotum (left) shows the left testicle to be unremarkable. Sagittal (above right) and transverse (below right) color doppler US of the right scrotum shows it to be filled with a large fairly homogeneous and hypervascular mass. A discrete right testicle could not be identified on ultrasound. In the operating room, a normal right testicle was seen medial to and adherent to and almost completely encased by this large mass.

The diagnosis was paratesticular rhabdomyosarcoma.