72-year-old male with elevated PSA. Evaluate for prostate cancer. PELVIS:PROSTATE:Limited exam due to lack of contrast enhancement (related to the extravasation).Prostate Size: 4.9 cm in transverse, 3.7 cm in AP, and 4.2 cm in craniocaudal diameter.Peripheral Zone: In the right mid gland peripheral zone, there is a small focus of the hypointensity (axial series 604 image 164). Further evaluation is limited due to the lack of contrast enhancement (related to the contrast extravasation). Extensive stranding in the peripheral zone is suggestive of chronic prostatitis.Central Gland: Heterogenous appearance.Seminal Vesicles: No significant abnormality.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Suspicious lesion in the right mid gland peripheral zone. The lack of contrast enhancement (due to extravasation) and background of chronic prostatitis limit further evaluation.Contrast extravasation description:Supervising radiologist: Julie Sanders, MDMinor or major extravasation: MinorContrast type:18.2 cc of MultiHance were administered. Amount extravasated: 18.2 ccLocation of extravasation: Right antecubitalSigns and symptoms: Erythema and swellingTreatment given: Ice packDischarge instructions given: Yes