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This pictorial review highlights key anatomical considerations and essential tips for scrotal ultrasound imaging. A practical approach to scrotal pathologies is discussed and supplemented with a plethora of ultrasound imaging examples. Particular emphasis is placed on describing the clinical presentation, imaging findings, and recommended management for: infectious\/inflammatory conditions, vascular anomalies, sequelae of trauma, cystic lesions, and common testicular neoplasms.<\/jats:p>","DOI":"10.1093\/bjr\/tqag063","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T03:50:56Z","timestamp":1773805856000},"page":"847-858","source":"Crossref","is-referenced-by-count":0,"title":["A sound approach to stay on the ball\u2014a review of scrotal pathologies on ultrasound imaging"],"prefix":"10.1093","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6997-2137","authenticated-orcid":false,"given":"Jeffrey","family":"Lam Shin 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