145. A 27-year-old man comes to the physician with his 25-year-old wife because of a 5-year history of inability to conceive. He has no history of major medical illness. Previous examination of his wife showed no abhormalities. Examination of the external male genitalia and testes shows soft lobulated masses bilaterally. Semen analysis shows a sperm count of 0.8 million/mL (N>20 million). Ultrasonography of the scrotum shows bilateral abnormalities that cause increased temperature within the scrotum. Which of the following additional findings is most likely in this patient? A) Absence of the scrotal ligaments B) Cryptorchidism C) Obstruction of the ductus deferens D) Testicular torsion E) Varicocele

145. A 27-year-old man comes to the physician with his 25-year-old wife because of a 5-year history of inability to conceive. He has no history of major medical illness. Previous examination of his wife showed no abhormalities. Examination of the external male genitalia and testes shows soft lobulated masses bilaterally. Semen analysis shows a sperm count of 0.8 million/mL (N>20 million). Ultrasonography of the scrotum shows bilateral abnormalities that cause increased temperature within the scrotum. Which of the following additional findings is most likely in this patient? A) Absence of the scrotal ligaments B) Cryptorchidism C) Obstruction of the ductus deferens D) Testicular torsion E) Varicocele