Reason: 70M with Gleason 9 prostate cancer s/p RARP 5/2016 and BCR History: assess for recurrent disease, PSA rose from 0.57 to 1.08 after prostatectomy. PELVIS:PROSTATE:Prostate Size: Patient is status post radical prostatectomy.Peripheral Zone: Patient is status post radical prostatectomy.Central Gland: Patient is status post radical prostatectomy.Seminal Vesicles: Patient is status post radical prostatectomy.Extracapsular Extension: Patient is status post radical prostatectomy.BLADDER: No significant abnormality noted.LYMPH NODES: Right internal iliac lymph node measuring 13 x 13 mm (series 1601 image 109).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mildly enlarged right internal iliac lymph node as above.2.No residual disease in the prostatic bed.PI-RADS™ v2 Assessment Categories:PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 – Low (clinically significant cancer is unlikely to be present)PIRADS 3 – Intermediate (the presence of clinically significant cancer is equivocal)PIRADS 4 – High (clinically significant cancer is likely to be present) PIRADS 5 – Very high (clinically significant cancer is highly likely to be present)https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/PIRADS/PIRADS%20V2.pdf