61 year old man comes to the office one week after he noticed a lump on his left testicle. the patient has not had pain in the tsticle, dysuria, urinary urgency or frequency. review of systems shows new onset bodyaches for two weeks that he attributes to yard work. he has missed work a few times during the past month for a fever. he occasiaonly awkens with sweating. 13lb weigh tloss over two months. left scortum feels like a bag of worms. urine distick 1+blood which is most likely the diagnosis. acuteo prostatitis, orchitis, renal cell carcinoma, testicualt cancer, testicualr torsion