Reason: Prostate cancer, will have RAL Prostatectomy History: see above PELVIS:PROSTATE: Resident on-call and a selective dilators and is an IUD is is in the biopsy came back criteria for Gleason 8Prostate Size: 5.2 x 3.7 x 3.4 cmPeripheral Zone: There is a large lesion within the right prostate involving the right peripheral zone and posterior transitional zone extending from the base to the apex. This lesion measures up to 2.2 x 1.5 cm in the mid gland. At the apex at extends anteriorly, with extracapsular extension, abutting the right puborectalis. This lesion is dark on T2 and ADC, demonstrates early enhancement and diffusion restriction.Central Gland: See above.Seminal Vesicles: No significant abnormalityExtracapsular Extension: Multiple foci of extracapsular extension, particularly involving the right apical region anteriorly.BLADDER: No significant abnormality noted.LYMPH NODES: Mildly enlarged bilateral pelvic lymph nodes with a right external iliac node measuring 1.4 x 1.1 cm (2001/112).BONES, SOFT TISSUES: Findings of active disease is seen on prior CT.OTHER: No significant abnormality noted.
1.Large lesion in the anterior prostate with extracapsular extension likely corresponds to patient's biopsy-proven prostate cancer.2.Enlarged bilateral pelvic lymph nodes are nonspecific.