your scrotal evaluation, while scanning if you see and recognize some ecta-tic vasculature

that could represent a varicocele, there's a few things to do. Step 1, is to document

the size, the diameter of the structure in 2-D. So here looking at this vessel, I'm gonna

freeze the screen, and take a measurement seeing that it is greater than 2 mm. Step

2, is to place color on and the normal response when I ask the patient to valsalva or bear

down is gonna be for us to not see increased flow. The valve should shut, and there should

be no re-flux. When I ask this patient to bear down, relax. You can see the response

and the filling of that vessel. Again bear down. Relax. That's consistent with a varicocele.

You wanna document this, in both a still image measurement wise and a video clip.

One more time, bear down, and relax.