62-year-old male with weight loss, acute swelling, fluid testicles. PSA 4.9 (7/2/2016), 3.67 (1/12/2015). Biopsy 8/25/2016 Gleason 6. PELVIS:PROSTATE:Prostate Size: 5.2 x 5.8 x 2.9 cm.Peripheral Zone: There is diffuse T1 hyperintense signal throughout the peripheral zone consistent with hemorrhage. No dominant lesion is identified to suggest malignancy.Central Gland: Moderate degree benign prostatic hypertrophy.Seminal Vesicles: Asymmetric appearance of the seminal vesicles with loss of T2 signal on the left.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Large left hydrocele.OTHER: No significant abnormality noted.
1.Significantly limited examination due to diffuse hemorrhage throughout the peripheral zone. No dominant lesion is identified to suggest malignancy.2.Large left hydrocele.