Image IQ: 10-year-old Male with Left Testicular Pain and Swelling

10-year-old male presents to the emergency department with left testicular pain and swelling for the last four days.

10-year-old male presents to the emergency department with left testicular pain and swelling for the last four days. He complains of increased pain when ambulating and with coughing.

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What's your diagnosis?

Testicular torsion
Epididymo-orchitis
Torsion of the testicular appendix
Testicular neoplasm
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