31b - Answer: 63-year-old male presents with malignant neoplasm of prostate gland
HISTORY:
This 63-year-old male presents with malignant neoplasm of prostate gland. Followup study.
PRIMARY FINDING:
PI-RADS 3 of 5.
FINDINGS:
Prostate gland measures 4.4cm in CC, 4.3cm in RL and 3.9cm in AP dimensions. Calculated prostate volume is 48cc.
Transitional zone enlargement is noted. No suspicious T2 hypointense region with substantive diffusion restriction or early arterial enhancement to suggest malignant neoplastic process in the peripheral zone. Transitional zone hyperplasia is mostly stromal in nature which demonstrates moderate diffusion restriction. No discrete T2 hypointense area with substantive diffusion restriction to suggest malignant neoplastic process in the transitional zone. Anatomical prostate capsule, bilateral neurovascular bundles and atrophic seminal vesicles are clear.
No enlarged lymph nodes in the pelvis or inguinal regions.
Urinary bladder is distended and unremarkable. Mild indentation of the enlarged transitional zone to urinary bladder floor is noted.
Rectum wall is clear. Visualized aspects of the bowel wall are normal in caliber.
No abnormal osseous enhancement.
Small fat-containing inguinal hernias right greater than left.
Mild capsulitis of the right hip joint.
CONCLUSION:
1. PI-RADS 3 of 5, transitional zone hyperplasia with areas of moderate diffusion restriction in mid and apical segments.
2. Mild capsulitis of the right hip joint.
3. Small fat-containing inguinal hernias, right greater than left.
Case Challenge: Prostate MRI Cases
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Content reviewed: October 25, 2021