A 39-year-old man underwent workup for oligospermia and infertility. Hormonal levels (FSH, prolactin, LH) were normal, but there was a suggestion of a right testicular nodule. Ultrasound showed replacement of most of the right testicle with an ill-defined fluffy density (see radical orchiectomy for normal left testicular ultrasound appearance). Tumor markers (alpha fetoprotein, HCG) were negative. The appearance and bilaterality suggested a lymphoma or adrenal cell rests.