Amyand’s hernia is a rare inguinal hernia where the appendix is trapped in the hernia sac. This uncommon hernia is most often revealed as an incidental finding, and the demonstration of this disease process is variable. This case study presents a scrotal sonogram of a 48-year-old male complaining of pain and swelling, without history of trauma. Sonographic images of the right inguinal region identified Amyand’s hernia that contained fat, free fluid, and the appendix. Treatment of Amyand’s hernia is highly debatable, but most cases are treated based upon classification that includes the state of the appendix, the patient’s age, septic state, and if any peritoneal involvement was identified.