22 y/o WM presents to the ED with acute onset of testicular pain X 2 h. He denies F/C, N/V/D. He is currently sexually active with 1 partner. He denies dysuria, hematuria, penile discharge, lesions or pain. PMHx: none PSHx: none Meds: none All: NKDA SocHx: +tob (ippd), +ETOH (6 pk/d), no drug use PE: BP 123/85, P 68, R 12, T 98.4 (o), Pox 99% (RA) GEN: WNW, WM, NAD CHEST: CTA B, nonlabored CV: RRR, no M/R/G ABD: soft, NTND, +BS, DRE norm tone, heme - GU: no inguinal LAD, penis without lesions or discharge, testicles with normal lie, +TTP R testicle Bedside US is performed: What is the diagnosis?
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