69-year-old man with history of prostate cancer status post prostatectomy, now with rising PSA. Please note that this examination was mildly limited by patient discomfort.PELVIS:PROSTATE: The patient is status post prostatectomy. There is an 18 x 16 mm area of enhancing soft tissue in the left pelvic sidewall adjacent to the obturator internus (series 801, image 24).BLADDER: There is a 7 mm left lateral bladder diverticulum.LYMPH NODES: No lymphadenopathy is identified.BONES, SOFT TISSUES: Heterogeneous signal in the bone marrow of the pelvis is noted, please correlate with bone scan. Bilateral hip prostheses noted. Fat-containing inguinal hernias are seen bilaterally.OTHER: Colonic diverticulosis without diverticulitis.
Soft tissue mass in the left pelvic sidewall which, although somewhat atypical in location, has imaging features highly suspicious for recurrent adenocarcinoma.