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Prostate volume 100 ml. PSA density 0.04 ng/ml.
Extensive bilateral PIRADS 5 in the peripheral zones, most pronounced at the mid gland and base with left-sided neurovascular bundle invasion and extension into the base of the left seminal vesicle. The burden is significantly larger on the left and invades the transitional zone.
BPH.
Two pathological left obturator nodes measuring 6 mm and 8 mm. No sinister bone lesion.
Left-sided bladder diverticulum. Sigmoid diverticulosis.
Comment: Bilateral PIRADS 5 (L >R).