| Findings: |
A large complex hydrocele on the right which could be secondary to a pyocele. There is also a large complex, cystic mass arising in the head of the right epididymis that measures approximately 7cm in diameter. This could represent either hemorrhage or purulent fluid, both could give this appearence. The right teste is mildly prominent. There is also a large cystic appearing structure in the upper pole of the right testicle.
Final pathology report: Right orchiectomy; markedly enlarged right testicle measuring 6cmx4cm attached to a large, sac-like, thickened hemorrhagic tissue. The entire mass measures 15cmx10cmx3cm. There are hemorrhagic and inflammed necrotic areas with focal thick walled abscess surrounding the inflammed and enlarged testicle. The spermatic cord and the epididymis are involved in the inflammatory process. No evidence of tumor is noted.