A 36 y/o male with no previous medical history presents with sudden onset of testicular pain that occurred while at work. The pain that is worse with movement radiates to his suprapubic abdomen. The patient is sexually active with multiple partners, and usually uses condoms. He denies recent trauma to the area, dysuria or hematuria.
On evaluation, his vitals are recorded to be: HR: 106, BP 115/79, O2 100%, Temp 98.8°F. Examination reveals left scrotal swelling and pain with elevation w/o discoloration or bruising. An ultrasound was brought to the bedside, and the following ultrasound is obtained: