CW

Prelude: An MRI*
May 25, 2016 
*Magnetic resonance imaging

Getting an MRI is sort of like taking a nap. They ask you whether you are claustrophobic, and then they give you head phones so you can listen to music while you are lying very still in a white tube getting scanned; but the machine is so noisy and the headphones are so ineffective that you know music is playing someplace, but you have to guess at what the tune is, because the sound is so low. You do have the opportunity when the sound stops from time to time to ask whether you can wiggle a little bit. I think it lasted less than an hour.

Study Result

Impression: No focal signal abnormalities in the peripheral zone of the prostate gland identified.

Here are some of the details:

Narrative
[HST]: PSA* 19 and rising- Please perform multiparametric prostate protocol 
MRI to look for suspicious areas of prostate cancer
(*prostate specific antigen)
Exam: MRI of pelvis without and with Contrast

20 cc of Multihance was injected intravenously without complication.

Findings:
The central gland is enlarged and heterogeneous. The peripheral zone 
is homogeneous with no definite abnormalities on either the ADC map, 
the T2-weighted images, or the enhanced images. No adenopathy.* No 
evidence for abnormality of the pelvic sidewall. The seminal vesicles 
are unremarkable.

*adenopathy = enlargement or disease of the glands

Bottom line: Not enough is going on to get the attention of the MRI analysts.

Love,
Dad