BACKGROUND. Cystic transformation of the rete testis is a little-known part
ial or complete obstruction of the spermatozoa-containing secretion of the
head of the epididymis. Depending on its severity, either ectasia or a cyst
ic transformation occurs, which spreads to the network of convoluted semini
ferous tubules in the mediastinum testis. Findings in contrast-enhanced MRI
examinations are characteristic and may help to differentiate this benign
entity from malignant neoplasia. The authors present two pronounced cases i
n different stages, documenting the broad spectrum of possible involvement.