Microlithiasis is a rare entity. The pattern of microliths was characterized as diffuse or focal with symmetrical or asymmetrical distribution of the echogenic foci. Testicular microlithiasis was reported to be associated with a number of clinical and pathological conditions such as intratubular germ cell neoplasia, cryptorchidism, torsion, epididymitis, infertility, and alveolar pulmonary microlithiasis. The diagnosis of this condition is confirmed either by the sonographic appearance of diffuse nonshadowing echogenic foci or the intratubular histological findings of the microliths. We describe a case of testicular and pulmonary microlithiasis associated with male infertility.
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