Dystrophic calcified nodule of the testis was first reported by Minkowitz and colleagues in 1965, with few subsequent reports. The etiology of this lesion is controversial and unknown partly owing to its rarity. We report the case of a 29-year-old man who presented with generalized right testicular pain. His ultrasound demonstrated a discrete calcified lesion. A right radical orchiectomy was performed identifying a 1.8 x 0.8 x 0.9-cm intratesticular calcific lesion with no evidence of intratubular germ cell tumour and negative tumour markers.