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 Inguinal lymph nodes Inguinal lymph nodes are the lymph nodes in the inguinal region (groin). They are located in the femoral triangle, and are grouped into superficial lymph nodes, and deep lymph nodes. The superficial lymph nodes have three divisions – the superomedial, superolateral, and inferior superficial lymph nodes. They are divided into three groups: There are approximately ten superficial lymph nodes, and they drain to the deep inguinal lymph nodes. Inguinal lymph nodes may normally be up to 2 cm in size. They receive lymphatic afferents from the following: There can be three, four or five deep inguinal lymph