Presentation
PSA 8.1, on Finasteride. DRE: hard prostate both sides.
Patient Data
Age: 70 years
Gender: Male
From the case:
MR prostate: incidental iliac artery aneursyms
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Prostate volume of 132mls. PSA density 0.06ng/ml.
Essentially no peripheral zone remains. Extensive BPH (PIRADS 2)
Normal seminal vesicles. No pelvic lymphadenopathy. No focal bone lesion.
3.7cm right and 2cm left internal iliac aneurysms.
Case Discussion
A number of incidental findings may be identified on prostate MRI.
These include;
a. Sigmoid diverticular disease
b. Colonic cancer
c. Iliac artery aneurysms
d. Hydroceles
e. Bladder stones or transitional cell carcinoma
In this case bilateral internal iliac artery aneurysms are identified.
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