Paratesticularneoplasms are uncommonand are <10% of all the intrascrotal tumors and have a 70% incidence of being benign.Adenomatoid tumors account for about 30% of these paratesticular neoplasms, commonly seen in head of epididymis. Though benign, malignant variants have been described in the literature. We present a rare case of adenomatoidtumorseen in tail of epididymis with a clinical presentation and radiological similarity to the malignant paratesticular tumours presenting a diagnostic challenge.Epididymaladenomatoid tumour is with many differential diagnoses, which is clinically similar to its malignant counterparts. The radiological signs are nonspecific and do not accurately differentiate between a benign and a malignant neoplasm. Though malignancies are infrequent, intrascrotalparatesticular masses should be dealt with high degree of suspicion.