Avoiding Unnecessary Orchiectomy-MRI Features in a Case of Multiple Benign Fibrous Scrotal Pseudotumors

We report a surgically confirmed case of scrotal fibrous pseudotumors. A 21-year-old man presented with multiple painless palpable masses in the left scrotum which had progressively enlarged over the previous 6 months. Magnetic resonance imaging (MRI) showed multiple tumor nodules at the scrotal wall. Characteristic of fibrous tumors, they were isosignal with the testis in Ti-weighted images (T1WI) and had low signal intensity in T2-weighted images (T2WI). Gadolinium injection revealed an inhomogeneous but obvious enhancement compared with the testis. We think the MRI picture is highly suggestive of this rare non-neoplastic entity. Awareness of the MRI features of the fibrous pseudotumor is important and could prevent unnecessary orchiectomy.