30-year male, complaining of severe pain and enlarged left testicle with epididymis, swelling is solid, in one piece, No beads or tubercles palpable. Cbc 12300/-, ESR 100mm, he is Diabetic type 1,controlled on insulin. This has happened the second time.

He can't tell properly, that how it was treated previously. X-ray chest shows infiltration?- Tubercular. How can it be confirmed of diagnosis, TB or other infection or torsion?