61-year-old male patient status post prostatectomy with detectable PSA. History of surgical complication and negative biopsy of prostate bed mass. PELVIS:PROSTATE: The patient is status post prostatectomy. Within the prostatectomy bed, there is a multicystic, lobulated mass measuring up to 4.4 x 3.5 cm in the axial dimension, which appears to correlate with an abnormality seen on prior CT and is similar in size. There are multiple fluid-fluid levels within the mass and intrinsic T1 hyperintensity suggesting blood products or proteinaceous material. There is no appreciable enhancement of this lesion. BLADDER: No significant abnormality noted.LYMPH NODES: No significant pelvic lymphadenopathy. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multicystic, lobulated mass within the prostatectomy bed of uncertain etiology; this would be unusual for prostate adenocarcinoma recurrence and is felt to be more likely benign in etiology, but not classic for lymphocele. Correlate with operative report for removal of seminal vesicles as their appearance would be similar. 