Male 74 years old Reason: 73M w/ stage 3 rectal CA , urothelial CA and prostate adenoCA, evaluate surrounding structures History: as above PELVIS:PROSTATE/SEMINAL VESICLES: Changes secondary to transurethral resection. This study is notA dedicated prostate study, therefore, prostate cancer cannot be optimally evaluated. No evidence of extension of prostate cancer to the rectum. The fat plane between the prostate and the rectum is not preserved posteriorly in the midline and towards the right side, best seen on image #34, series #3. However, this a nonspecific finding and may be secondary to surgery or biopsy, although, invasion to the anterior rectal wall cannot be entirely excluded. A dedicated prostate MRI with endorectal coil may be helpful for better characterization.BLADDER: Bladder wall is diffusely thickened, however, no evidence of any focal mass that can be seen on MRI.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis.
1. No evidence of mass in prostate or bladder. Fat plane between prostate and rectum is not well seen focally, posteriorly on the right side. This is a nonspecific finding. If there is any clinical concern for prostate cancer, further evaluation with dedicated prostate MRI with endorectal colon is recommended.