Here is Mine NOT SURE WHAT TO MAKE OF IT__DOC APPT 7/9/25

MR PELVIS WITH AND WITHOUT CONTRAST
(PETMR PSMA)

Lesion 1:
Mid/apical anterior fibromuscular stroma; 2.7 x 2.2 x 1.2
cm; (Se/Im 6/108)
On T2-weighted MR imaging, the lesion is seen as a focus
of low signal intensity (T2 score = 5/5).
The lesion demonstrates marked restricted diffusion (DWI
score = 5/5). ADC value: 0.663 x 10^-3 mm^2/s
The lesion is associated with suspicious enhancement (DCE
positive).

No definite corresponding PSMA avidity.
Overall PI-RADS v2 score = 5
Capsular margin and neurovascular bundle: Lesion #1 is
associated with approximately 2 mm anterior extracapsular
extension (Se/Im 6/108).
Seminal vesicles: No evidence of seminal vesicle invasion.
Lymph nodes: No evidence of lymphadenopathy in the field
of view
Bones: No suspicious lesions
Whole Body MR: Additional, non-diagnostic MR images were
obtained for anatomic localization.
Brain: No large masses, hydrocephalus or extra-axial
fluid collections
Chest: No large pulmonary masses or pulmonary nodules.
Note, MRI is limited for assessment of pulmonary nodules.
If pulmonary nodules assessment is clinically warranted, a
CT chest is recommended.
Abdomen: Tiny bilateral renal cysts. Bilateral hydroceles,
left larger than right. Evaluation of the small and large
bowel is limited in the setting of PET/MRI due to
peristalsis and artifact from bowel gas.
IMPRESSION:
- PI-RADS v2 score 5: clinically significant cancer is
highly likely to be present.
- Lesion #1 is associated with macroscopic extracapsular
extension. No evidence of seminal vesicle invasion.
- MR T-stage = T3A
- No lymphadenopathy. No suspicious bone lesions.