were elevated, but AFP, bhCG and calcium levels were Case report normal. Heaf testing was negative, despite BCG vaccination in childhood. The rapid growth of the mass in A 30-year-old Afro-Caribbean man presented with a painless lump in his right scrotum. He also complained his right testis and epididymis necessitated a right orchidectomy, because of concern that the underlying of a dry cough and night sweats. His medical history was otherwise unremarkable. Examination revealed a pathology might have been neoplastic. Histology showed diCuse granulomatous epididymitis and orchitis. firm mass attached to his right epididymis and multiple skin lipomata. Testicular ultrasonography detected mul-The granulomata were non-caeseating and no mycobacteria were identified by appropriate staining (Fig. 2). tiple hypo-echoic areas in both epididymes and testes, with a palpable nodule measuring 17 mm across. TheseThe conjunction of histological, ultrasonographic and chest radiographic findings were strongly supportive of were reported as consistent with granulomatous inflammation or lymphomatous infiltration ( Fig.

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