Reason: 81M with h/o prostate cancer s/p prostatectomy 5/2016 with persistently elevated PSA History: Look for residual disease at prostate bed. PELVIS:PROSTATE:Prostate Size: Status post prostatectomy.Peripheral Zone: Not applicable.Central Gland: Not applicable.Seminal Vesicles: Not applicable.Extracapsular Extension: Not applicable.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: There is a subcentimeter focus of intermediate T1 signal within the right posterior acetabulum which is nonspecific but lacks associated restricted diffusion. There is redemonstration of a sclerotic focus within the left ilium which appears similar to the comparison CT and likely reflects a bone island.OTHER: No specific evidence of local recurrence within the prostatectomy bed. The vesicourethral anastomosis appears within normal limits.The large field-of-view postcontrast images demonstrate a cystic structure with a thin enhancing rim along the right pelvic sidewall (series 1701, image 95) measuring 1.4 x 2.3 cm which likely represents a postoperative fluid collection (such as a lymphocele). There are no significant surrounding adjacent inflammatory changes.Amorphous material and surgical clips within left inguinal canal compatible with prior hernia repair.Small amount of fluid within the right inguinal canal appearing similar to comparison CT.
Status post prostatectomy without specific evidence of local residual disease. 