Testicular Microlithiasis. Innumerable tiny echogenic spots (arrows) are evident throughout the testicular parenchyma. This benign condition is associated with a significant risk of testicular carcinoma.

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It is not uncommon to see two or three tiny calcifications in the testicle. Mutiple tiny calcifications throughout the testes have been found and are termed microlithiasis. Although microlithiasis has been seen in normal patients, it is associated with tumors, sterility, and cryptorchidism. Sonographically, microlithiasis appears as multiple echogenic non-shadowing areas throughout the testis, and these calcifications may obscure other pathologic conditions.

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