55-year-old man with history of elevated PSA status post prostatectomy. PELVIS:PROSTATE:The patient is status post prostatectomy. There is a 19 x 8 mm soft tissue nodule in the left prostatectomy bed (series 801, image 26) which has low T2 signal, diffusion restriction, and mild enhancement. This nodule appears to extend to the level of the left anterior rectal wall.BLADDER: There is concentric thickening of the bladder wall.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Enhancing soft tissue focus in the left prostatectomy bed suspicious for local recurrence, less likely residual seminal vesicle. Please correlate with patient's operative history.