I have reviewed your ultrasound report. You don't have cancer and calcifications within the testis are microliths and they have no significance; they are essentially normal.
Your right testis is certainly smaller than the other side and is probably due to some insult earlier in life. (some vascular injury / torsion of testes) It should not impair your sexaul or fertility potential in way under normal circumstances. There is no indication of any tumor or mass.
Stop worrying; your ultrasound looks good.
Hope this helps
Please feel free to ask followup questions.
Dr Rajiv Goel
MS (AIIMS), MCh (AIIMS), DNB ( Uro)
Fellow, Urooncology and Robotic urology, Australia
Fellow, Laparoscopic urology, Germany
Patient replied :
Thank you Dr. Goel
One more thing I would like to know:
If the microliths are numerous and considered microlithiasis I have read this is sometimes associated with an increased risk of cancer. I have read that atrophy is also an increased risk.
Should consideration be taken for a aggressive future sceenings given both of these conditions? Such as yearly ultrasounds and blood test for tumor markers?
Yes both atrophy and microliths have been associated with cancer. However, whether it is truly increased incidence or just a coincidence we are not very sure.
However, you should be proactive in ruling out development of malignany and the best way is to self examine every day while taking bath. Testis with testicular cancer shall become hard and also lose the sensation of pain when pressed.