School ager with right scrotal pain for 1 day

US of torsion of the appendix epididymis
Sagittal US of the scrotum on the day of presentation (above) shows a hypoechoic oval lesion in the epididymis just above the testicle. Sagittal US of the scrotum 2 weeks later (below) shows the previously seen hypoechoic lesion in the epididymis to have evolved into an anechoic cyst.

The diagnosis was torsion of the appendix epididymis.