Scrotum masses may be extratesticular, intratesticular, cystic, or solid. Extratesticular cystic masses are typically benign, but intratesticular cystic masses are usually malignant.Painful scrotal enlargement may need more than a physical examination. In rare cases, a palpable scrotal tumor may be testicular. Physicals may miss vital indicators and misunderstand results. According to studies, scrotal disease imaging using ultrasonography (U/S) is safe. We did a study to determine whether high-frequency ultrasound (HF-U/S) can identify extratesticular and testicular scrotal illnesses (TSP). Acute scrotal inflammatory disorders (ASID) may affect anatomy. It targets intratesticular solid and cystic scrotal masses. Big hydroceles don't impair sperm production or delivery. HF-RT-US outperforms CD in distinguishing intratesticular and extratesticular scrotal masses. HF-U/S's non-invasiveness, simplicity, affordability, worldwide availability, and reproducibility helped the study. HF-U/S detected and tracked scrotal and testicular diseases.