55 years old male presented to our clinic with hx of hyperte | Figure 1

DrKAS1

Urology Resident

55 years old male presented to our clinic with hx of hypertension and diabetes for 15 y and now he suffer from pain in his scrotum mainly in the left side his U/S ( attached above )

O/E :

tenderness in the left testicle and moderate swelling ..

what's is the DD× and what's is the next step in management

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