“…4,9 Sonographically, tuberculous epididymitis appears as diffusely enlarged heterogeneously hypoechoic, diffusely enlarged homogeneously hypoechoic, or nodular enlarged heterogeneously hypoechoic lesions. 2,7,15,16,24 The sonographic heterogeneity may be accounted for by the presence of various pathologic components, including caseation necrosis, granulation tissues, and fibrosis. If a sinus draining necrotic pus exists, the lesion may have a more heterogeneous appearance, 2,7,16 as in the tail of the left epididymis in our case.…”