Patient presents with a chief complaint of scrotal mass, swelling, or lump.  Onset of scrotal mass is documented as (acute, chronic, insidious).  Patient reports (presence or absence) of associated symptoms including scrotal pain, testicular pain, inguinal pain,  heaviness, tenderness, redness, discoloration, or change in testicular size.  Location of the scrotal mass is noted as (left, right, bilateral) and described as (soft, firm, hard, mobile, fixed, tender, non-tender).  Transillumination exam (performed, not performed) with findings documented as (transilluminating, non-transilluminating).  Differential diagnosis includes hydrocele, spermatocele, varicocele, epididymitis, orchitis, testicular torsion, inguinal hernia, and testicular cancer.  Physical examination reveals (detailed findings including size, shape, and consistency of the mass, as well as assessment of the testes, epididymis, and spermatic cord).  Medical history includes (relevant past medical and surgical history, medications, allergies, and family history).  Imaging studies, such as scrotal ultrasound, may be ordered to further evaluate the scrotal mass and characterize its nature.  Preliminary diagnosis of (specific diagnosis if possible, or differential diagnosis if further investigation is needed) is made.  Treatment plan may include observation, antibiotics if infection is suspected, surgical intervention such as hydrocelectomy, spermatocelectomy, or orchiectomy depending on the diagnosis, and pain management with analgesics.  Patient education provided on the importance of follow-up care and self-examination.  Referral to urology or oncology may be warranted depending on the diagnostic findings.