Reason: 51M with high volume Gleason 7 prostate cancer, assess for pelvic metastasis History: as above PELVIS:PROSTATE:Prostate Size: 4.1 x 2.9 by 4.6 cm.Peripheral Zone: The majority of the peripheral zone in the mid prostate and prostatic apex is replaced by T2 hyperintense diffusion restricting lesion compatible with given history of high volume prostate cancer. This extends into the base of the prostate as well.Central Gland: The tumor extends into the central gland. Seminal Vesicles: Tumor extends into the inferior aspects of both seminal vesicles.Extracapsular Extension: There is extracapsular extension of the tumor in multiple areas predominantly in the mid prostate and prostatic apex.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.High volume prostate cancer with extracapsular extension and seminal vesicle invasion.2.No abnormal pelvic lymph nodes.