Prostate cancer staging. Biopsy dated 1/26/2016 demonstrated left base lateral 3+3 1.5 mm 10%. PELVIS:PROSTATE:Prostate Size: 4.1 x 6.7 x 6.2 cmPeripheral Zone: Minimal hemorrhage/proteinaceous signal intensity. Mild wedge shaped T2 weighted hypointensity of the right mid gland/base peripheral zone without a discrete measurable lesion. Central Gland: Changes of BPH without a suspicious lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.Contrast extravasation description:Supervising radiologist: Dr. O'BrienMinor or major extravasation: MinorContrast type:16 cc of Multihance were administered. Amount extravasated: 8 ccLocation of extravasation: Right AC fossaSigns and symptoms: Patient reports mild swelling but no pain. Intact neurovascular function.Treatment given: Warm compress and elevation. No pain at discharge. Discharge instructions given: Yes
Mild signal abnormality in the right mid-gland/base without a discrete dominant lesion. No evidence of extraprostatic extension or enlarged pelvic lymphadenopathy. Please note that this was a nonenhanced MR due to contrast extravasation.