History of prostate cancer status post prostatectomy. Rising PSA. Radical prostatectomy 6/27/2012 Gleason's score of 4+3. No extraprostatic extension and negative margins. PELVIS:PROSTATE: The patient is status post radical prostatectomy. There is no MR evidence of residual or recurrent tumor in the prostatectomy bed.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: 9 mm T1 weighted hypointense and T2 weighted hypointense lesion in the right iliac bone adjacent to the right sacroiliac joint is partially imaged (series 601/28). There is no corresponding mobility on the lumbar spine MRI from 6/22/2013 CT dated 6/22/2013 or bone scan dated 9/12/2013.OTHER: No significant abnormality noted.
1. No specific evidence of residual or recurrent tumor in the prostatectomy bed.2. Hypointense right iliac bone 9 mm lesion is not seen on prior imaging. Further evaluation with a bone scan is recommended for further evaluation to exclude metastatic disease.