Findings:
Right testis: Enlarged (4.7 x 3.3 x 3.2 cm) with homogenous echotexture and increased vascularity.

Left testis: Normal size (2.3 x 2.5 x 2.4 cm) with homogenous echotexture; no mass or abnormal vascularity.

Right epididymis: Small appendix, slightly increased vascularity compared to left.

Left epididymis: Normal.

Vascularity: Slightly increased in right testis and epididymis.

Hydrocele/Varicocele: Moderate right hydrocele with internal septations/loculations (likely pyocele); no significant left hydrocele or varicocele.

Impression:
Right epididymo-orchitis with enlarged, hyperemic right testis and epididymis, and likely complicated hydrocele. Normal left testis.

Recommendations:
For your training purposes, recommendations are not included in this report.