*Any increased width of the '''inguinal canal''', which normally has a diameter of up to 13 mm at the deep inguinal ring.<ref name="KumarPatel 2018">{{cite journal|last1=Kumar|first1=Vipin|last2=Patel |first2=Jignesh |last3=Sharma |first3=Chakraprabha |last4=Inkhiya |first4=Suman |title=Morphometric Study of Inguinal Canal on Cadaver|journal=International Journal of Anatomy and Research|volume=6|issue=2.1|year=2018|pages=5172–5175|issn=23218967|doi=10.16965/ijar.2018.147}}</ref>
*Any '''bulging''' of the abdominal wall at the inguinal triangle, suggesting a direct inguinal hernia.
*[[CT_of_the_abdomen_and_pelvis#Basic_screening|'''Basic screening ''' of abdominal contents]].
===Further evaluation===