Reason: 72M with history of Gleason 6 prostate cancer, with rising PSA History: rising PSA PELVIS:PROSTATE:Prostate Size: 4.4 x 2.5 x 3.2 cmPeripheral Zone: There is diffuse low T2/ADC signal surrounding the TURP defect which demonstrates early enhancement. This is most prominent along the left mid gland transitional and peripheral zones (704/284) and is suspected to represent fibrosis. There are more focal lesions which also surrounding the TURP defect which are also low signal on T2/ADC measuring 0.5 x 0.7 cm in the right lateral mid gland (601/18) and 0.4 x 0.4 cm in the right para median mid gland (601/17).Central Gland: A TURP defect comprises the majority of the central gland.Seminal Vesicles: No evidence of seminal vesicle in relation.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bilateral fat-containing inguinal hernias.
1.TURP defect with diffuse surrounding low T2/ADC signal which is suspected to represent prostatitis/fibrosis, particularly in light of the low grade Gleason biopsy.2.There are two more focal regions of low T2/ADC signal in the right mid gland surrounding the TURP defect which are indeterminate and have been marked for biopsy.