Although many diagnostic methods have been clinically used in scrotal pathology, but almost all diagnostic modalities are inadequate in visualization of variable scrotal diseases in anatomic detail. nd non-invasive means of evaluating the anatomic image of scrotal content was needed then superficial location of the scrotums make them ideally suited for sonographic examination and improvement in resolution of diagnostic ultrasound permits in depth evalution of scrotal anatomy & pathology. Authors experienced 48 cases of scrotal diseases confirmed by surgery, needle aspiration and follow up studies from August, 1984 to July, 1986.