To cite: Irfan M, Waldron R, Bolger J, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-207910 DESCRIPTION Thorough examination of a scrotal mass includes transillumination. By holding a light externally to the scrotum, one can easily determine whether the mass is cystic (light shines through) or solid (light blocked by the mass). At first glance, figu...