INTRODUCTION
Imaging the inguino scrotal contents has advanced significantly in the last decades, however, inguino scrotal malignant neoplasms are rare in male patients representing about 2% of neoplasms in males, testicular carcinoma representing the most common malignant neoplasm at the age of 20-35 years old males, based on increasing incidence of inguino scrotal tumors over the last decades, imaging of inguino scrotal lesions by means of new technologies allowing better morphological assessment and better inguino scrotal tissue characterizations.
Hence MRI representing confident and reliable diagnostic tool for evaluation of inguino scrotal masses providing valuable orientation for further management, reducing the unnecessary surgical interventions, especially in non conclusive ultrasound findings which represents the first imaging modality choice because of its wide availability, efficient grey scale resolution and color Doppler images, however capability of confident Tissue characterization is not always possible.
MRI has advantage over ultrasound because its wider FOV, multi planar imaging capability of whole inguinal and scrotal region and because it is less operator dependent technique