DS9 Document EFTA00788397

BuS CROMWELL HOSPITAL Date of birth Roed Larsen, Terje Report typed on: 03/11/2017 09:29:30 Dear Dr OGDEN, CHRIS 39A TAVISTOCK ROAD LONDON W11 1AR 01/11/2017, 10:35, MRI PROSTATE 01/11/2017, 10:31, MRI GADOLINIUM - CONTRAST Indication: PSA 8.4. Technique: 1ST multiparametric MRI of the prostate with triplane T2, axial DWI (multi-b-value with ADC map, and b1600), axial DCE imaging. Axial T1 and T2 pelvis. Findings: The estimated prostate volume is 26 cc. There is a small transition zone with a slightly enlarged median lobe. The bladder is slightly thick walled and trabeculated. There are no suspicious bladder wall lesions. There is scattered calcification within the transition zone. There is approx. 0.18 cc of early enhancement within the right anterior transition zone at the base of the gland between 10-11 o'clock. This is associated with reduced AX and mild low T2 signal - overall suspicious for tumour (4/5). There is no other suspicious transition zone focus - in keeping with a low probability of significant tumour (2/5). There is bilateral non-specific diffuse signal change (mild reduced T2 signal, early enhancement and mild reduced ADC) within the peripheral zone extending from the apex to the base of the gland. These changes are non-specific but may mask foci of tumour (3/5). There is no macroscopic extracapsular tumour extension. There is no seminal vesicle tumour. There is no size significant local lymphadenopathy. There are no suspicious bone lesions. Conclusion: 2017-11-03 09:29:30 CONSULTANT RADIOMX:1STN Dr NI King -Clinical Director Dr N Barrett Dr N Sibtain Dr C Blakeney Dr S Dcsai Dr D Blunt Prof W Gedmyc Dr R Chinn Dr P Kanc Drl Colquhoun ProfJ Karani Dr NI Adams Dr A Mehra Dr Lobotesis Dr Hamady Radiology Department Contact Number 0207 460 5742 / 5759 NUCLEAR MEDICINE AND l'ETCT Dr B Sharma Dr K Nliszkiel Dr P Peddu Dr. NI Pawl Dr Mulholland Dr A Mitchell Dr R Pearce Dr K. Mankad Dr Szyszko Dr S Padley Dr K Satchi Dr I) Lewis Dr Tarn Dr M Phelan Dr. A Riddell Dr Rajcsswaran Dr Dasgupta Dr P Shaw Dr. P Humphries Dr Punwani Prof P Sidhu Dr. B Miff Dr Sohaib Dr McCall Dr Madani EFTA00788397 BuiS CROMWELL HOSPITAL Date of birth Men, Terje The PSA density is high. Focal right basal transition zone tumour is likely (4/S). Diffuse bilateral peripheral zone signal change is non-specific and may mask tumour (3/S). No extracapsular disease is evident. Dr Shonit Punwani MRCP FRCR Consultant Radiologist GMC 2017.11.03 09:29:30 CONSULTANT RADIOLOGISTS Dr M King - Clinical Director Dr N Barrett Dr N Sibtain Dr C Blakeney Dr D Blunt Dr R Chinn Dr I Colquhoun Dr M Adams Dr Lobotesis Dr S Dcsai Prof W (kdroyc Dr P Kane Prof I Karani Dr A hlehta Dr Hamady Dr K Misskiel Dr A Mitchell Dr S Padley Dr M Phelan Dr P Shaw Prof P Sidhu Dr McCall Radiology Department Contact Number 0207 460 5742 / 5759 NUCLEAR MEDICINE AND PET-LT Dr B Sharma Dr Mulholland Dr Szysrlo Dr Tam Dr Dasgupta Dr P Peddu Dr R Pearce Dr K Satchi Dr. A Riddell Dr. P Humphries Dr. B Ariff Dr Madani Dr. M Patel Dr K. Mankad Dr D Lewis Dr Rajcsswaran Dr Punwani Dr Sohaib EFTA00788398