Presentation
Difficulty in passing urine.
Patient Data
The prostate is enlarged measuring 42 x 42 x 38 mm - volume approximately 37 cc.
A lobulated hypoechoic area with mobile internal echoes is noted involving the right side of the gland. It causes contour bulge towards the rectum. Size - 30 x 29 x 24 mm - 11 cc.
Peripheral zone is normal.
No calcification focus is seen.
No periprostatic collection is seen.
Power Doppler - perilesional vascularity.
Prostatic urethra shows normal appearance without calculus.
Seminal vesicles - present bilaterally.
Vas deferens - present bilaterally.
Case Discussion
Findings very much suggest an abscess in the prostate gland.