Patient presents with a chief complaint of testicular enlargement, testicular swelling, or swollen testicle.  Onset of enlargement was (onset date or duration).  Patient reports (presence or absence) of testicular pain, scrotal pain, or discomfort. Associated symptoms include (list associated symptoms such as fever, chills, nausea, vomiting, urinary symptoms, or abdominal pain).  Physical examination reveals (right, left, or bilateral) testicular enlargement.  The affected testicle is (describe size, consistency: hard, soft, firm; and tenderness).  Transillumination (performed or not performed, results if performed).  The epididymis is (palpable or non-palpable, tender or non-tender).  Spermatic cord is (normal or abnormal, describe findings if abnormal).  Differential diagnosis includes hydrocele, varicocele, spermatocele, epididymitis, orchitis, testicular torsion, and testicular cancer.  Plan includes (e.g., scrotal ultrasound, urinalysis, STI testing, tumor markers such as AFP, beta-hCG, and LDH).  Patient education provided regarding potential causes of testicular enlargement, the importance of follow-up, and when to seek emergent care if symptoms worsen or new symptoms develop.  Patient verbalized understanding of the plan.  Return to clinic scheduled for (date).