Scrotal swellings enshrine clinical conditions affecting dermis and /or sub-cutaneous tissue, and those of scrotal contents. A clear cut insight into their symptoms and signs are imperative to comprehend before arriving at their precise diagnosis. A concerted endeavor in this direction has been made to appraise the audience with their nomenclature origin, clinical variants, presentation and clear cut diagnostic criteria. Accordingly angioedema, lichen simplex chronicus, orchitis, epididymitis related epididymo-orchitis, varicocele, testicular torsion, and hydrocele formed the subject matter. The role of Ultrasonography, Ultrasonic colour doppler imaging and magnetic resonance imaging in evaluating scrotal swellings has succinctly been emphasized to enrich the core curriculum of the viewers.