,BRIEF HISTORY:  ,The patient is a 49-year-old male who came into the emergency room with 2-week history of left testicular pain, scrotal swelling, elevated white count of 39,000. 
,BRIEF HISTORY : , The patient is a 49 - year - old male who came into the emergency room with 2 - week history of left testicular pain , scrotal swelling , elevated white count of 39,000 .