Figure 1: A 37-year-old patient was diagnosed with diffuse large B-cell lymphoma that involved with bilateral testes. The PET/CT showed asymmetrical increased uptake in the bilateral testes. He received orchiectomy, prophylactic intrathecal injection, and 6 cycles of chemotherapy with rituximab-etoposide, prednisone, oncovin (vincristine), cyclophosphamide, and hydroxydaunorubicin (doxorubicin) (R-DA-EPOCH). The duration from the time of diagnosis to the date when radiological findings suggested suspected pancreatic involvement was 9.3 months. The patient was alive till October 30, 2017, after a follow-up of 26 months.