Suspect varicocele left side.

without Valsalva

with Valsalva

Saying “suspect varicocele” would cause uncertainty for the report reader. A consultant would have no choice but to request images to decide if there is or isn’t a varicocele.

Unnecessary hedges like this devalue radiologists. Why pay a radiologist when the urologist will look at the same images and say “there is a varicocele”?

Rewrite: Left sided varicocele.