66-year-old Male with prostate cancer now with increased PSA ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral punctate stones without evidence of hydronephrosis. Bilateral hypodense lesions like representing cyst. Some Ultima to small to accurately characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Prostate gland demonstrates nodular contour. Posterior laterally on the left side with slight enhancement. Residual disease in the prostate cannot be excluded. MRI may be helpful for further evaluation.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Nodular contours in the left posterior lateral aspect of the prostate, suspicious for residual disease. MRI is recommended for further evaluation. This lesion may be amenable to MR guided prostate biopsy if clinically indicated.Bilateral punctate stones and small renal cysts.