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

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

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 08, 2018 and last reviewed on: Nov 24, 2022

Hi doctor,

I have enlarged prostate, urinary retention, and hematuria for almost a year. I had MRI of prostate done. I would like to have the interpretation of images. Currently, I am on Flowmax and Finasteride.



Welcome to

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 doctor,

Thank you for the reply,

I have been taking Flomax and Finasteride. So I have been able to urinate fairly well. I need to meet with my urologist to discuss what to do with the enlarged prostate. I have been periodically tested for urinary tract infections and there have been none. My kidney function has been normal on periodic testing. I was mainly concerned about prostate cancer and it is reassuring that there is no evidence of it. My latest PSA was 2.7 with a free PSA of 30 %. I suffer from health anxiety and have been overly concerned with the chance of cancer.



Welcome back to

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.

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