A 37-year-old man complains of left scrotal swelling, pain, and low-grade fever.

Fig. 149.1 (A–D) Ultrasound evaluation of the testicles shows an ill-defined heterogeneous, predominantly hypoechoic lesion arising from the left epididymis and extending into the left testis.

Tuberculous epididymo-orchitis

• Primary testicular tumor
  
• Lymphoma
  
• Metastases
  
• Sarcoid
  
• Hematoma
  
• Scrotal hernia