History of prostate cancer treated with RT, now with rising PSA, prostate biopsy negative. This study is limited the to patient's inability to complete the study at one session and lack of intravenous contrast.PELVIS:PROSTATE:Prostate Size: 4.6 by 3.2 by 3.3-cm.Peripheral Zone: Prostate gland is atrophic due to radiation therapy. There are multiple radiotherapy seeds throughout the prostate. In the right basal the prostate there is a 1.3 x 1.1 cm hypointense mass involving both the right transition zone and peripheral zone anteriorly.Central Gland: Hypointense focus involving the right transition zone near the base as described above.Seminal Vesicles: Unremarkable.Extracapsular Extension: Not seen.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Changes secondary to radiation therapy. Right anterior basal lesion involving the peripheral and transition zones compatible with prostate cancer.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.