question: Hi doctor, I am a 32 year old male. I had a scrotal USG before three months. It said that I am having varicocele of grade1 with a pampiniform vein size 2-3 mm. When I consulted a doctor, he prescribed some medicine, and I had it. But, the dragging pain persists. Yesterday, again I had a USG of the scrotum, and the report showed that I am normal with no varicocele. During the second time of USG, the radiologist insisted me to inhale stomach full several times and said that my pampiniform flex size is 15 and it can go up to 22. And, he stated that I am normal. During the first time of USG, the radiologist insisted me to cough by turning my head to the left side. My dragging pain is present after having a meal and prolonged sitting. I am attaching my ultrasound scan report. Please clarify the report.