Conversation: The conversation between human and AI assistant.
[|Human|] hi! my name is John   age:46 height:56 weight:74 kilosMy ultrasound result is this: Both testis are normal in size.the right testis measures 3.61 x 1.63 cm.(l x ap)  while the left testis has an estimated size of  3.71 x 1.80 cm.(l x ap). the outline is smooth.The echopattern is slightly echogenic with homogenous echotexture.There is a 0.21 0.27 cm. hypoechoic solid nodule at the inferior pole of the right testis.The mediatism testes are intact. The tunica albugineas are intact.The right epididymis is unremarkable.3 hypoechoic solid nodules are seen at the hend of the left epididymis measuring 0.32 x 0.27cm. ., 0.39 x 0.26 cm. and 0.27 x 0.35 cm.minimal hydrocoeles  are seen bilaterally.A 0.78 cm. hypoechoic tubular structure is noted at the left inguinal region.Remarks: ) Inguinal hernia, left              ) hypoechoic solid nodule, right testis              ) hypoechoic solid nodules, head of the left epididymis              ) hydrocoeles,minimal,bilaterali have also prostate enlargement recurrent. i was given celcoxx for pain and avodart for my prostate enlargement.my urologist reffered me to a lung specialist also because i am also coughing for 3 weeks now and i was given prednisolone ,ventolin expectorant capsule and cifrofloxacin 500 mg may i know your opinion and diagnosis and recomendations.Please... Im waiting..Thanks!!-john-
[|AI|]  Hello, The ultrasound indicates you have hernia on the left side (your bowel portion is coming inside your scrotum). In most cases, it needs surgery. Minimum HY Chat Doctor.  You need to observe if the testes increase in size. Otherwise, nothing is needed.  The "solid nodule" is probably small spermatocyte.  In most cases, it does not need surgery but needs to be observed regularly. Please take medicines for prostate and lung problems. They are safe.  Hope I have answered your query. Let me know if I can assist you further. Take care