Playing football all day. Pain and swelling to L. scrotal half ? torsion
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L. hydrocele is present. The epididymis is enlarged and echogenic consistent with epididymitis.
Note that good central blood flow on doppler doesn't exclude torsion. Clinician was quering torsion. Clinical examination findings not given, however if there was high clinical suscpicion of torsion, ultrasound is inappropriate for this pt.