MRI of spermatic cord lesions: a practical pattern-based approach

The authors aim to establish a practical, pattern-based MRI diagnostic approach for evaluating spermatic cord lesions, which are often challenging to differentiate from adjacent paratesticular masses. They propose a three-step method that involves determining the lesion's anatomical origin, classifying it based on specific MRI patterns, and integrating these findings to refine the differential diagnosis. This approach is designed to enhance the accuracy of MRI in identifying true spermatic cord lesions and guiding clinical management.