Which imaging modalities are recommended for further evaluation of a scrotal lump when malignancy is suspected?

Recommended imaging modality for further evaluation of a scrotal lump when malignancy is suspected is a direct access ultrasound scan. Ultrasound is the first-line imaging investigation to assess testicular symptoms such as enlargement or change in shape or texture, especially when malignancy is a concern.

This recommendation aligns with the guidance to consider a direct access ultrasound scan for unexplained or persistent testicular symptoms in men to evaluate for possible testicular cancer.