64-year-old man with history of bladder and Gleason 9 prostate cancer status post RALP and BPLND 5/2016, now with rising PSA. PELVIS:PROSTATE: The patient is status post prostatectomy and lymph node dissection. BLADDER: The anterior left bladder wall (401/104) is irregularly thickened with 2 cm masslike region on the left.LYMPH NODES: There is an enlarged left perirectal lymph node (401/124) which is not seen on the post-contrast or diffusion weighted images. Additional prominent left obturator lymph node noted (401/156). BONES, SOFT TISSUES: No marrow signal abnormality in the pelvis.OTHER: No significant abnormality noted.
1.Lymphadenopathy suspicious for nodal recurrence.2.Known bladder wall tumor.