Right Testicular Mass in a 28-yo Man

Physical Examination

  • General appearance: Thin male who appears fatigued and older than stated age; in no apparent respiratory distress.

  • Vital signs:
  • Temperature: 37° C
  • Pulse: 60 beats/min
  • BP: 112/65 mm Hg
  • Respirations: 16/min
  • Height: 6'
  • Weight: 180 lb
  • BMI: 24.4

  • Skin: Warm and dry to the touch.

  • HEENT: Nasopharynx appears normal; no neck masses or lymphadenopathy.

  • Pulmonary: Breath sounds present and equal bilaterally. No stridor, rales, or wheezing.

  • Cardiovascular: Heart rate is regular; radial and dorsalis pedis pulses are present and equal bilaterally; no pedal edema.

  • Gastrointestinal: Abdomen is not distended; there are no ecchymoses. Normal bowel sounds are present. Abdomen is soft and nontender to light and deep palpation; no masses are present.

  • Genitourinary: Circumcised phallus, no visible lesions, bilateral descended testes. Left testis smooth and nontender. Left epididymis is normal in texture and nontender. Right testis has firm mass in the midsection that is nontender on palpation. Right epididymis is normal in texture and nontender. There are no palpable inguinal lymph nodes. No urethral discharge.

  • Musculoskeletal: No costovertebral angle tenderness.

  • Neurologic: Unremarkable

  • Mental status: Alert and oriented to person, place, and time.