29-year-old with history of radical prostatectomy with persistently elevated PSA. Positive bladder neck surgical margin and positive lymph node. PELVIS:PROSTATE:Status post prostatectomy. There are small foci of susceptibility in the resection bed which is an expected postoperative finding. No definite residual enhancing soft tissue to indicate local recurrence.Seminal Vesicles: Surgically absent.BLADDER: Moderate bladder distention without bladder wall thickening or trabeculation.LYMPH NODES: There is a mildly prominent enhancing left common iliac lymph node which measures 7 x 10 mm, (series 1501 image 114). There are scattered normally sized inguinal and low pelvic lymph nodes.BONES, SOFT TISSUES: No focal suspicious lesion.OTHER: No significant abnormality noted.
1.Postoperative changes from radical prostatectomy without evidence of residual enhancing tumor to indicate local recurrence.2.Enhancing left common iliac lymph node as described above. This is nonspecific, but additional follow-up is warranted.