<s>[INST] Hello Sir I am concerned about my friend he is a 45 yr.old male with a super large ball one of them is a size like a roma tomato. it dosent hurt him till he has to bend down. I keep telling him to see a dr. but he keeps putting it off. could this be serious for him [/INST] Welcome to Chat Doctor .1. It could be a HY Chat Doctor. 2. Possibilities of testicular mass can not be ruled out.3. Needs a scrotal scan to analyze the cause of the swelling.4. Inguinal hernia does give a lump in the scrotum.5. Delay can complicate, as your friend to seek medical assistance as soon as possible. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. </s>