58-year-old male with history of prostate cancer status post radical prostatectomy 9 years ago now with rising PSA. Evaluate for recurrent disease. PELVIS:PROSTATE: Status post prostatectomy. There is patchy poorly defined low T2 signal adjacent to the bladder neck junction. There is no definite associated abnormality on the postcontrast and diffusion sequences. Within this region are also small cystic foci of uncertain significance.Seminal Vesicles: Surgically absent.BLADDER: No significant abnormality noted.LYMPH NODES: Scattered normal-sized pelvic lymph nodes. No pelvic or abdominal lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Ill-defined soft tissue thickening at the bladder neck junction as described. While this may represent normal postoperative appearance/scarring, recurrent disease is not entirely excluded. No evidence of metastatic disease elsewhere in the pelvis.