Typically present with painless scrotal mass, dull lower abdominal ache, or heaviness sensation
May have endocrine abnormalities from hCG elevations
Gynecomastia
Hyperthyroid biochemical signs
Gynecomastia
Hyperthyroid biochemical signs
Testicular tumor
Scrotal cellulitis
Spermatocele
Epididymitis
Hematocele
Fournier gangrene
Hydrocele 
Hydrocele