68 years, Male, Reason: hx of penile mass, evaluate local extent of invasion and inguinal/pelvic lymphadenopathy History: penile mass. PELVIS: MalePROSTATE, SEMINAL VESICLES: Large lesion of the distal penis measures 6.9 x 7.7 x 5.0 cm (401/10 and 501/13). The distal corpus and urethra are not well delineated and likely replaced with tumor. The lesion extends within the subcutaneous fat of the left scrotum and abuts the left testicle (401/9 and 807/198), however no definite invasion within the testicle is evident. The base of the penis is normal appearing.BLADDER: No significant abnormality noted.LYMPH NODES: Bilateral inguinal lymphadenopathy with a right inguinal node measuring at 1.9 x 1.6 m (802/547). There are several small subcentimeter pelvic nodes. For example, a left external iliac node measures 1.5 x 0.6 cm (401/44). There is a subcentimeter node within a right fat containing inguinal hernia (401/32) which is nonspecific.BOWEL, MESENTERY: Diverticulosis without evidence of diverticulitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Distal penile mass. further described above, abuts and extends along the left scrotum, and underlying invasion into the scrotum is not excluded. 2.Bilateral inguinal lymphadenopathy.