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Findings: A small well-defined rounded nodule measuring ~ 1 x 1 cm is seen in the left hemiscrotum, adjacent to but separable from the head of the epididymis. It is of intermediate signal intensity on T1, low signal intensity on T2-weighted images, and shows no diffusion restriction. It shows moderate heterogeneous enhancement in the post-contrast study. No evidence of infiltration is seen into the surrounding structures. Minimal bilateral hydroceles. Both testes are normal.
Conclusion: Small benign looking non-epididymal and non-testicular nodule in the left hemiscrotum. Possible differential diagnoses include fibrous pseudotumor of the scrotum and adenomatoid tumor of the scrotum.