Inguinal hernia sectional imaging with CT or MRI, the major differential in diagnosing indirect inguinal hernias is differentiation from spermatic cord lipomas, as both can contain only fat and extend along the inguinal canal into the scrotum. On axial CT, lipomas originate posterolateral to the cord, and are located inside the cremaster muscle, while inguinal hernias lie anteromedial to the cord and are not intramuscular. Large lipomas may appear nearly indistinguishable as the fat engulfs anatomic boundaries, but they do not change position with coughing or straining. Differential diagnosis of the symptoms of inguinal hernia mainly includes the following potential conditions: There
Inguinal lymph nodes nodes. They lie medial to the femoral vein under the cribriform fascia. The uppermost node is in the groin, under the inguinal ligament, and is called Cloquet's node (also Rosenmuller's node). This node is named for French surgeon Jules Germain Cloquet, or for German anatomist Johann Christian Rosenmüller. It can also be considered as the lowest of the external iliac lymph nodes. Cloquet's node is also considered as a potential sentinel lymph node. The deep inguinal lymph nodes drain superiorly to the external iliac lymph nodes, then to the pelvic lymph nodes and on to the paraaortic lymph nodes. The