Saturday, August 28, 2010

MRI results

Fri 27 Aug: Got the MRI results back today. As follows:

PROSTATE MRI WITH AND WITHOUT CONTRAST 8/25/2010

INDICATION: Prostate cancer

TECHNIQUE: Multisequence, multiplanar MR images of the prostate are
performed with and without use of IV contrast. The patient received
20 cc of multihance intravenously without adverse reaction. Images
obtained with the endorectal coil.

COMPARISON: None

FINDINGS: The central zone of the prostate is hypertrophic. The
central zone demonstrates heterogeneous T2 signal. In the peripheral
zone at the level of the mid prostate at approximately 7:00 position,
there is vague area of low T2 signal which corresponds to enhancement
on postcontrast images and low signal on the ADC maps. The capsular
margin of the peripheral zone is smooth without nodule or bulge.
Groin and iliac lymph nodes are within normal limits for size. No
perirectal or internal iliac adenopathy. No abnormal signal or
enhancement from the neurovascular bundles. The seminal vesicles are
unremarkable. There is mild trabeculation of the bladder wall which
is likely due to prostate hypertrophy and outlet obstruction. An
irregular area of T2 high signal in the left femoral head insistent
with osteonecrosis . The bones are otherwise unremarkable.

IMPRESSION: MR findings suggestive of adenocarcinoma in the
peripheral zone of the mid prostate at 7:00 position. Correlate with
pathology results. No evidence of local spread or metastasis.

This last sentence is particularly important: It means the cancer is confined to the prostate. Good news!

No comments:

Post a Comment