Answer for CoW 10 Dec 2017
CA PROSTATE
Findings
Hypointense lesion in the right and left base of the prostate with infiltration of the periurethral zone. Soft tissue thickening with restricted diffusion in posterior aspect of the urinary bladder. Diffuse urinary bladder wall thickening. Multifocal bone marrow infiltration in the pelvic bones.
Discussion
In a patient with elevated PSA levels , The above features are suggestive of prostatic carcinoma with urinary bladder invasion and multiple skeletal metastases. Multiparametric MRI of Prostate is now done to assess prostatic Tumors . However recently a Combined T2WI and high B value DWI(800, 1500 , 2000) provides the necessary information. TIWI is part of the protocol to assess Bone marrow infiltration as in this case and pelvic lymphadenopathy status.
Findings
Hypointense lesion in the right and left base of the prostate with infiltration of the periurethral zone. Soft tissue thickening with restricted diffusion in posterior aspect of the urinary bladder. Diffuse urinary bladder wall thickening. Multifocal bone marrow infiltration in the pelvic bones.
Discussion
In a patient with elevated PSA levels , The above features are suggestive of prostatic carcinoma with urinary bladder invasion and multiple skeletal metastases. Multiparametric MRI of Prostate is now done to assess prostatic Tumors . However recently a Combined T2WI and high B value DWI(800, 1500 , 2000) provides the necessary information. TIWI is part of the protocol to assess Bone marrow infiltration as in this case and pelvic lymphadenopathy status.
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!