65-year-old male patient with history of prostate cancer status post prostatectomy with rising PSA. Evaluate for extent of disease. PSA of 0.35 on 09/22/2015. Note the examination is limited by susceptibility artifact from right total hip arthroplasty. Given this limitation the following findings are made:PELVIS:PROSTATE:Prostate Size: Status post radical prostatectomy.Peripheral Zone: Status post radical prostatectomy.Central Gland: Status post radical prostatectomy.Seminal Vesicles: There are bilateral low T2 signal nodules in the expected area of the seminal vesicles, which may represent residual seminal vesicle tissue.Extracapsular Extension: Not applicable.BLADDER: At the urethral anastomosis there is asymmetry with thickening of approximately 9 mm on the right (series 501 image 75), which appears to demonstrate some enhancement.LYMPH NODES: No pelvic lymphadenopathy is identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Urethral anastomotic asymmetry with thickening and probable enhancement on the right, raising suspicion for recurrent/residual disease.2.Probable residual seminal vesicle tissue bilaterally.