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What Does This MRI Report Indicate?

Posted on Tue, 11 Apr 2017

Question: MRI pelvis reveals a small nodular lesion in peripheral zone at 4-5 o clock position in the mid gland on left side showing restriction of diffusion with step defect in periprostatic fat -
Does above finding suggest prostate cancer?

Answered by Dr. Prof. Kunal Saha (5 hours later)

Brief Answer:
Please upload the report

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. From the mentioned details there is no reason to conclude that it is due to prostate cancer. However, I would insist you to upload the full report. It will help me to guide you further.

I will await your response.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Prof. Kunal Saha (42 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Prof. Kunal Saha (31 hours later)

Brief Answer:
BPH is a very commonly encountered problem

Detailed Answer:
Pardon me for the inadvertent delay. The report simply states prostate enlargement. The most common cause of prostate enlargement is benign prostatic hypertrophy (often called BPH). Other causes of prostate enlargement include prostate cancer and prostate infection (prostatitis) and so you would need to visit an urologist and get further evaluation done.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prof. Kunal Saha (14 hours later)

Urine culture is found to be positive with E-Coli, which seems to have changed the direction of further investigation.

Answered by Dr. Prof. Kunal Saha (24 minutes later)

Brief Answer:
If it is UTI it needs to be treated with antibiotics

Detailed Answer:
I would need to ask you the colony count of E.coli. Unless it is greater than 1,00,000/cu.mm [i.e. 10^5/cu.mm], it does not count as urinary tract infection. If it does, you would need to be treated with antibiotics. You would also need to drink plenty of water.

Regards

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar