A 15-year-old high school student wishing to join the school's football team presents to your office for a sports physical. As part of the physical, you must perform a hernia check. You notice that his right scrotum is markedly larger than his left. He denies pain or tenderness, as well as fever, night sweats, or weight loss. On palpation, you feel a fluid-filled mass in the scrotum and you can get above the mass with your fingers. What is your most likely diagnosis?

hydrocele

Explanation:

A hydrocele is a sac crammed with fluid that forms just around a testicle. To make a diagnosis on hydrocele, you will first of all perform a physical exam. If the patient is confirmed to have a hydrocele, the patient scrotum will be engorged, but it will be painless. You won’t be able to feel your patient’s testicle well via the fluid-filled sac.

This allows you to determine if there’s fluid in the scrotum of the said patient. If fluid is present, the scrotum will allow minimal transmission and the scrotum will show to light up with the light passing through.

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