Tubular ectasia of the rete testis (TERT) is a benign entity due to dilatio
n of the tubules of the rete testis. Most of the time it is discovered inci
dentally on scrotal sonograms and may be misinterpreted as malignant. This
article outlines the diagnostic criteria of TERT, its possible causes, its
incidence and its potential evolution. Recognizing this entity owing to its
characteristic clinical, sonographic and, if necessary, MRI features is im
portant to avoid unnecessary surgery or biopsies.