T3 MRI ACTIVE SURVEILLANCE

1005tanner
1005tanner Member Posts: 29

Just got my MRI results back and this is what was found. 1Moderate BPH and gland enlargement.

2. A couple of small lesions within the left transition zone and left posterior peripheral zone in the

mid gland that shows low t2 signal and only subtly restricted diffusion. These are marked in DynaCAD

and may correspond to the area of proven malignacy , but PI-RADS 3 Lesions.

 

Narritive

HISTORY

Patient is 60 year old male who is here for follow up psa was 2.97 8/21/17 Prostate Biospy 10/5/17 noted 3+3 =6

only in the left mid gland.

 

TECHNIQUE

 

The examination was performed on a 3 Tesla MR unit utilizing a high resolution multichannel phased array cardiac coil.

Multiparametric MR imaging of prostate and pelvis before and after administration of 20 ml of intravenous Dotarem.

Images werev reviewed in conjunction with computer assisted detection software DynaCAD.

 

FINDINGS 

The prostate is enlarged measuring 4.2 x3.9x4x4 cm Prostate volume is estimated at 39 cubic milliliters.

There is moderate to severe change of BPH with diffuse enlargement and heterogeneity/nodularity of the transition zone.

Within the left anterior transition in the mid gland , there ia an areaof ill-defined low t2 signal and subtle restriction of diffusion,

but no hyperenhancement. PI-RADS 3. This is labled as ROI 1 in DynaCAD.

 

Also,  there is an ill-defined area of low t2 signal just lateral to the left of midline within the peripheral zone at the junction of

the mid gland and apex which shows low t2 signal and slighty restricted diffusion but no hyperenhancement. PI-RADS3

 

No extracapsular disease is seen . Thers is no evidence of metastatic lymphadenopathy . The bladder and rectum appear 

unremarkable . No pelvic ring lesion is seen There are a couple of scierotic bone islands within the right acetablum and

right femoral neck.

 

Any advice or comments greatly appreciated. Have a follow up this Friday going over results.

Thanks

 

 

 

 

Comments

  • VascodaGama
    VascodaGama Member Posts: 3,527 Member
    AS looks still good

    Tanner,

    I think that the MIR confirms the biopsy results. In your shoes (and if you can and wish) I would continue AS.

    Best,

    VG

  • ASAdvocate
    ASAdvocate Member Posts: 182 Member
    Ditto what VDG said. You are

    Ditto what VDG said. You are good to proceed with AS.

  • 1005tanner
    1005tanner Member Posts: 29
    Thanks for the feedback ,

    Thanks for the feedback , thats what im planning to continue to due as long as possible

    and keeping a close eye on the situation. Best regards