Polyorchidism is a rare congenital anomaly frequently associated with maldescent testis, hernia, and torsion. Reports in the literature show an increased risk of testicular malignancy in the presence of polyorchidism. This entity has characteristic sonographic features and the diagnosis is often made on the basis of sonography. Magnetic resonance imaging might also be used for the diagnosis, but is more helpful in cases associated with cryptorchism or neoplasia. A conservative approach is the treatment of choice in uncomplicated cases.