74-year-old male with history of rectal cancer. Surveillance exam for rectal cancer, status post radiation and chemotherapy. PELVIS:PROSTATE/SEMINAL VESICLES: Changes secondary to transurethral resection. There is persistent loss of a normal fat plane between the residual prostate tissue and the anterior rectal wall in the midline (axial series 601 image 33). BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No recurrent measurable mass is identified. In the region of the prior known tumor, there is mild wall thickening and minimal wall enhancement.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No recurrent measurable mass is identified in the rectum.2.No discrete mass in the prostate. A fat plane between the prostate and the rectum is not well seen focally. This study is not a dedicated prostate exam, and therefore prostate cancer cannot be optimally evaluated. If there is clinical concern for prostate cancer, further evaluation with dedicated prostate MRI with endorectal coil is recommended.