A 38-year-old man presented with a 2-year history of an enlarging scrotal nodule. Scrotal ultrasound revealed two soft tissue masses separate from the testicle in the right scrotum measuring 1.7 and 0.8 cm. The patient underwent excision of the scrotal nodules, revealing firm, white tissue with a smooth, nodular surface. On histology, the lesions appeared fibrous with scattered capillaries and areas of inflammatory infiltrate consistent with paratesticular fibrous pseudotumour. On a follow-up ultrasound at 6 months, he had no evidence of recurrence.