Age/Gender: 62Y, M
Reason:
CT OF WHOLE ABDOMEN
HISTORY: A 62-year-old man with prostate cancer S/P TRUS with biopsy was sent for staging
FINDINGS:
#Prostate gland
Prominent size with heterogeneously enhancement of prostate gland with minimal internal calcification, measuring about
4.8x3.2x3.9 cm in WxAPxH. However, small prostatic mass cannot be excluded. Further investigation with MRI of prostate gland is
helpful if clinically indicated
- Bilateral seminal vesicles are unremarkable
No gross tumor invasion to adjacent bladder and rectum is seen
#Lymph nodes
- No significant lymphadenopathy at presacral region and internal iliac region
- A few subcentimeter lymph nodes at bilateral external iliac regions, up to 0.6 cm in short axis diameter.
- No significant paraaortic lymphadenopathy
#Liver;
- Normal size, smooth surface and normal parenchymal enhancement of liver.
- A 2-mm calcification at hepatic segment 8, likely calcified granuloma. No liver ma
- Patent visualized portal veins and hepatic veins.
#Gallbladder and bile
- Gallbladder shows thin wall without opaque stone.
- No intrahepatic duct or common bile duct dilatation
#Pancreas, spleen and both adrenal glands: Unremarkable.
#Both kidneys, ureters and urinary bladder;
- Normal size and parenchymal enhancement of both kidneys
- No renal stone, mass or hydronephrosis. No ureteric dilatation
- Urinary bladder has thin wall without stone
#Colon: No significant dilatation. No obvious mass. However, small mucosal lesion cannot be totally excluded
#Stomach and visualized small bowel loops: No significant dilatation. No obvious mass
#Pentoneum: No ascites. No intraabdominal free air. No obvious omental mass
#Aorta. Atherosclerotic change of aorta and its branches.
#The visualized lung base; No obvious pulmonary nodule. No pleural effusion.
#Bone: There are multiple small osteosclerotic probably bone islands. However, osteotbl
alized lung base; No obvious pulmonary nodule. No pleural effusion
lesions at bilateral femoral heads, right superior pubic rami and left inferior pubic rami
me cannot be excluded. Please correlate with bone scan
IMPRESSION
- Prominent size with heterogeneously enhancement of prostate gland with minimal internal calcification. Howeve
mass cannot be excluded. Further investigation with MRI of prostate gland is helpful if clinically indicated
r, small prostatic
- No significant lymphadenopathy at presacral region and internal iliac region
- A few subcentimeter lymph nodes at bilateral external iliac regions, up to 0.6 cm in short axis diameter
- A 2-mm calcification at hepatic segment 8, likely calcified granuloma
- Multiple small osteosclerotic lesions at bilateral femoral heads, right superior
pubic rami and left inferior pubic rami, probably bone
islands. However, osteoblastic metastasis cannot be excluded. Please correlate with bone scan
รบกวนช่วยแปลผลการตรวจมะเร็งต่อมลูกหมากหน่อยครับ ว่า เป็นระยะไหน
Reason:
CT OF WHOLE ABDOMEN
HISTORY: A 62-year-old man with prostate cancer S/P TRUS with biopsy was sent for staging
FINDINGS:
#Prostate gland
Prominent size with heterogeneously enhancement of prostate gland with minimal internal calcification, measuring about
4.8x3.2x3.9 cm in WxAPxH. However, small prostatic mass cannot be excluded. Further investigation with MRI of prostate gland is
helpful if clinically indicated
- Bilateral seminal vesicles are unremarkable
No gross tumor invasion to adjacent bladder and rectum is seen
#Lymph nodes
- No significant lymphadenopathy at presacral region and internal iliac region
- A few subcentimeter lymph nodes at bilateral external iliac regions, up to 0.6 cm in short axis diameter.
- No significant paraaortic lymphadenopathy
#Liver;
- Normal size, smooth surface and normal parenchymal enhancement of liver.
- A 2-mm calcification at hepatic segment 8, likely calcified granuloma. No liver ma
- Patent visualized portal veins and hepatic veins.
#Gallbladder and bile
- Gallbladder shows thin wall without opaque stone.
- No intrahepatic duct or common bile duct dilatation
#Pancreas, spleen and both adrenal glands: Unremarkable.
#Both kidneys, ureters and urinary bladder;
- Normal size and parenchymal enhancement of both kidneys
- No renal stone, mass or hydronephrosis. No ureteric dilatation
- Urinary bladder has thin wall without stone
#Colon: No significant dilatation. No obvious mass. However, small mucosal lesion cannot be totally excluded
#Stomach and visualized small bowel loops: No significant dilatation. No obvious mass
#Pentoneum: No ascites. No intraabdominal free air. No obvious omental mass
#Aorta. Atherosclerotic change of aorta and its branches.
#The visualized lung base; No obvious pulmonary nodule. No pleural effusion.
#Bone: There are multiple small osteosclerotic probably bone islands. However, osteotbl
alized lung base; No obvious pulmonary nodule. No pleural effusion
lesions at bilateral femoral heads, right superior pubic rami and left inferior pubic rami
me cannot be excluded. Please correlate with bone scan
IMPRESSION
- Prominent size with heterogeneously enhancement of prostate gland with minimal internal calcification. Howeve
mass cannot be excluded. Further investigation with MRI of prostate gland is helpful if clinically indicated
r, small prostatic
- No significant lymphadenopathy at presacral region and internal iliac region
- A few subcentimeter lymph nodes at bilateral external iliac regions, up to 0.6 cm in short axis diameter
- A 2-mm calcification at hepatic segment 8, likely calcified granuloma
- Multiple small osteosclerotic lesions at bilateral femoral heads, right superior
pubic rami and left inferior pubic rami, probably bone
islands. However, osteoblastic metastasis cannot be excluded. Please correlate with bone scan