u/chamblerofreflection

Hello, how are you? Greetings from Chile. Currently, due to routine exams, my father (71 years old) was found to have possible signs of cancer. To be honest, I am very worried; I don't know anything about this, and I feel that AI doesn't give me 'human' information, so I am reaching out to you. I am providing the report, and I also wanted to know if it is serious—could it be fatal?"

MULTIPARAMETRIC PROSTATE MRI

(1.5 Tesla Resonator)

Comparison: None.

PSA: 4.97

Findings:

The prostate is slightly increased in size secondary to transition zone hyperplasia (47 cc prostatic volume with a glandular antigen density of 0.10).

The peripheral zone shows a patchy signal.

Lesion 1: Mid-glandular region - right posteromedial and posterolateral base of the peripheral zone.

Measurements: 3.0 cm. Probable EPE (Extraprostatic Extension) with involvement of the right seminal vesicle.

Scores: T2W MRI score = 5, DWI MRI score = 5, DCE score = positive.

PI-RADS: 5/5.

Lesion 2: Apex - left anterior mid-glandular region with involvement of the transition zone and peripheral zone.

Measurements: 1.1 cm. No EPE.

Scores: T2W MRI score = 4, DWI MRI score = 4, DCE score = positive.

PI-RADS: 4/5.

Left Seminal Vesicle: No alterations.

Lymph Nodes: No lymphadenopathy (enlarged lymph nodes) detected.

Post-void Residual: Slight post-void residual volume.

Bone Marrow: No aggressive lesions.

Incidental Findings: Colonic diverticula without signs of current complication. As an incidental finding, right ureteral dilation is observed, without an identified obstructive factor.

Impression:

Lesion in the right mid-glandular/base of the peripheral zone (PI-RADS 5). Probable extraprostatic extension.

Lesion in the left apex/mid-glandular region of the peripheral zone/transition zone (PI-RADS 4).

Personal Note:

My dad is a healthy man; he has never smoked and has never consumed alcohol. He has diabetes, but it is so well-controlled that he always has normal levels.

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