Mr L Has an Unusually Thick Scrotum with Edema and Pitting

Mr. L. has an unusually thick scrotum with edema and pitting. He has a history of cardiac problems. The appearance of his scrotum is more likely a(n)

A) congenital defect that has worsened.
B) indication of general fluid retention.
C) normal consequence of aging.
D) complication to the development of mumps.
E) consequence of prior STDs.