Epididymal Cyst and Varicolcele Case # 25683 Patient presented with mass/lump to left testicle, mild to moderate pain (no heat or painful urination). Image 1 demonstrates varicoceles to LT scrotum. Image 2 denonstrates normal flow to testicle - it is not torsed Images 3 and 4 demonstrate the epididymal cyst - a spermatocele is listed as the differential diagnosis.