76-year-old male with elevated PSA (4.72 ng/mL) after prostatectomy. Evaluate for extent of disease. Fullness of the prostatic fossa on the left. PELVIS:PROSTATE:Prostate Size: Status post prostatectomy.Peripheral Zone: Not apical.Central Gland: Not applicable.Seminal Vesicles: Not applicable.Extracapsular Extension: Not applicable.BLADDER: There is a 2.4 x 1.6 cm nodular focus with early enhancement and washout also demonstrating hypointense ADC signal intensity. This lesion is located adjacent to the left posterior aspect of the urinary bladder base (axial series 708 image 324).LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Nodule focus adjacent to the left posterior base of the urinary bladder measuring 2.4 x 1.6 cm with hypointense ADC signal and early enhancement and washout concerning for recurrent or residual tumor.2.Please refer to same day nuclear medicine bone scan for additional details regarding osseous findings.