Kindly interpret MRI taken for enlarged prostate, urinary retention and hematuria.

Hi,

Welcome to icliniq.com.

The MRI scan of the prostate (attachment removed to protect patient identity) shows a grossly enlarged prostate which is indenting the lumen of the urinary bladder and which you are probably aware of. Further, the median lobe of the prostate is showing hypertrophy and projecting into the base of the urinary bladder area.

The volume of the urinary bladder is significantly decreased and I can see that there is circumferential wall thickening of the urinary bladder. This can mean that the enlarged prostate has been causing bladder outlet obstruction and that is leading to retention of urine and infection. There are no obvious features of prostate cancer on T2 and diffusion images. There is no area of strikingly abnormal enhancement.

I would interpret the findings to be due to gross enlargement of the prostate and causing bladder outlet obstruction causing urinary bladder wall infection.

For more information consult a radiologist online.

Hi,

Welcome back to icliniq.com.

Cancer of the prostate is a concern for every individual having prostate symptoms. However, most people have a benign enlargement of the prostate and malignancy of the prostate is much less seen than benign enlargement. From your MRI scan and the total PSA (prostate-specific antigen) is not looking like cancer. It is seen that free PSA greater than 25 percent can have cancer in approximately 15 percent people. Since MRI images and total PSA are more likely showing benign enlargement, I think you should stop thinking about cancer and get relief from anxiety.

For more information consult a radiologist online.