Reason: hx of prostate cancer, evaluate extent of disease, scheduled for RALP History: see above. PELVIS:PROSTATE:Prostate Size: 3 x 4.7 x 3.5 cmPeripheral Zone: Multifocal extensive tumor bilaterally, predominantly involving the right. Large dominant tumor involving the right apex with extension into the left apex and right mid measures 2.5 x 2.3 cm. There is right apical extracapsular extension. Smaller tumors involving the right anterior mid and left posterior mid. Central Gland: No significant abnormality. Seminal Vesicles: No significant abnormality. Extracapsular Extension: Mild extracapsular extension of large right apical tumor. BLADDER: No significant abnormality noted.LYMPH NODES: Small right pelvic side wall lymph nod measures 4 mm. Small nonenlarged right external iliac chain lymph node. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal tumor with large dominant right apical tumor with extracapsular extension. 4 mm right pelvic side wall lymph node; metastases cannot be excluded. 