Testicular microlithiasis seen in primary infertility

Testicular microlithiasis (TM) is rare and usually asymptomatic. It is usually bilateral but has been reported on single testis. TM is defined as five microliths on a single sonogram; it is divided into classical TM and limited TM. There is association between TM and neoplasm. A 34-year-old male presented with a history of primary infertility. Investigations done were normal, except for semen analysis and scrotal ultrasound. The scrotal scan showed multiple hyperechoic foci in both testes. The patient did not come for follow-up in the clinic. Ultrasound is used to diagnose TM in a case of infertility