Man With Scrotal Mass

A 60-year-old man presented to the emergency department with an acute exacerbation of his chronic right groin pain after slipping. He had end-stage renal disease requiring dialysis, cirrhosis, diabetes, and congestive heart failure. His pulse rate and temperature were normal, and his examination result was remarkable for a 10-cm mass in the right hemiscrotum. A CBC count was normal. Scrotal ultrasonography was obtained (Figure 1) and compared with previous computed tomography (CT) performed 6 months previously (Figure 2).

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