The prostate gland is seen markedly enlarged in size and shows heterogeneous signal intensity with irregular margins. It is seen infiltrating the seminal vesicles, adjacent posterior and inferior urinary bladder walls as well as the distal segments of both ureters more at the right side with a subsequent right distal moderate hydroureter. A tissue projection of this mass is seen abutting the anterior rectal wall. Blurred pelvic fat plane surrounding the prostate and seminal vesicles which are infiltrated.
There are bilateral iliac multiple variable-sized enlarged lymph nodes in the vicinity of the mass, the largest is seen at the right side presents as nodal mass measures 5x3 cm axially. The prostatic mass and the enlarged lymph nodes appear restricted in the diffusion study related to the high cellularity.
Moderate circumferential mural thickening of the rest of the urinary bladder walls.
Right moderate and left minimal scrotal hydrocele, as well as the right inguinal small encysted collection, are also seen.
Heterogeneous marrow signal of the examined pelvic bones.