Hi, Thanks for your query. If a patient with testicular pain comes to my clinic I would first do an ultrasound scan to rule out torsion testes.Torsion testes is a surgical emergency and we need early intervention. As per your description,torsion has been ruled out.Your ultrasound suggest the presence of a cyst which might be an epididymal cyst.These small cyst are usually not dangerous.In my practice I find these cyst accidentally on ultrasound.They don t need treatment unless they cause pain and discomfort.As a first line therapy I would suggest simple analgesics like ibuprofen and a short course of antibiotics like amoxclav for five days.If the cyst becomes larger despite the medical management we refer the patient to a urologist,in that case he might require a minor surgical procedure to remove the cyst. You don t need to worry regarding this.You can use some analgesics like brufen for pain.If your pain persist for long time ,I suggest you to consult a urologist and get a repeat ultrasound done to confirm the diagnosis.He may guide you further accordingly. Hope this information helps. With regards. Dr.Shinas Hussain