History of prostate cancer in right apex (Gleason 7). PELVIS:PROSTATE:Prostate Size: Prostate measures 3.9 x 5.1 x 3.5 cm (cc by transverse by AP)Peripheral Zone: There is heterogeneous low T2 signal that is asymmetrically more prominent on the right which slightly limits evaluation. Within the right apex there is a small focus is slightly more prominent low T2 signal (series 401 image 62) with corresponding low ADC signal suspicious for tumor.Central Gland: There are mild changes of benign prostatic hypertrophy.Seminal Vesicles: Seminal vesicles are unremarkable. No evidence of tumor invasion.Extracapsular Extension: No definite extracapsular extension is identified.BLADDER: There is a partially visualized dilated right distal ureter.LYMPH NODES: Contour abnormality adjacent to the right internal iliac vessels is felt to represent a small focal varix as opposed to a prominent lymph node based on series 1001 image 72 and 612. No definite pelvic or inguinal lymphadenopathy.BONES, SOFT TISSUES: Patchy bone marrow signal throughout the pelvis likely reflects residual red marrow. There are postsurgical changes in the right inguinal region.OTHER: There is a simple midline cyst at the base of the prostate gland in line with the urethra which may reflect either a mullerian duct or utricle cyst which measures 13 mm in maximum dimension.
1. Findings suspicious for tumor in the right peripheral zone apex. No evidence of extracapsular extension or metastatic disease.2. Contour abnormality adjacent to the right internal iliac vessels is felt to represent a small focal varix as opposed to a prominent lymph node based on series 1001 image 72 and 612. No definite pelvic or inguinal lymphadenopathyy otherwise.3. Partially imaged dilated right distal ureter.