This case involves a forty-two-year-old male patient who presented to his primary care physician with complaints of a mass in his right testicle. The PCP sent the patient for an ultrasound that was interpreted as normal and had no signs of any acute scrotal abnormality. The patient was started on antibiotics for what was suspected to be epididymitis. The patient waited two weeks for the medication to exert its effects and, in that time, the mass doubled in size. The PCP sent the patient to a urologist who read the original radiology report, but it recently had an addendum added that stated the patient had a 1.8 x 1.6 ill-defined mass like lesion present in the right testicle. The urologist performed an additional ultrasound and ran blood work that revealed the patient had an HCG marker for testicular cancer that was at a level of 4200. The patient’s follow-up ultrasound was highly suggestive of cancer and the patient underwent an orchiectomy procedure the following day.