Incidental findings on MRI's when beginning PCa treatment.

Posted by perrychristopher @perrychristopher, Jul 20, 2023

I had my RALP in Aug of 22 at 60 yo. I had a Gleason 4 + 3 with a PSA of 3.46 in March of 22. Biopsy in May 22 showed 4 of 12 cores with cancer. Two 7s and 2 6s. Intermediate Cancer that had to be treated. Went thru bone scan and abdominal MRI. Bone scan clean but MRI found a 8 mm liver lesion. Got another MRI in Nov 22. Report said reaction of lesion not typical with metastasis when I was injected with Gadolinium during MRI. Differential considerations atypical hemangioma or complex cyst. Attention on routine followup. Went to my Urologist/Surgeon and he recommended another MRI in July of 23 so it will have been a year from initial finding. He said the Nov 22 results reported were wishy washy. I.e. not very definite. My results came back more definitive in July. Hemangioma. Nothing to worry about. I just wanted people on this forum who are just starting this process that incidental findings on the liver and lung are quite common and try not to stress over this on top of a PCa diagnosis. Note I had a 1mm lung punctate nodule also. Anyhow the RALP went well with no side effects. My PSA at 11 months is undetectable. Best of luck to everyone on this forum.

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We are in the same boat, sort of. I am 11 years since my RALP and now dealing with biochemical recurrence. In the past year, I have had bone/mri/ct scans and the lesion on liver was picked up but it didn't get uptake during the psma pet scan. After I did my genetics test and confirmed BRCA2, we did another MRI on the liver, more so to check on liver health, less so because we thought there was PCa in the Liver. I'm 52 and I enjoyed myself in my 20's with booze so perhaps the lesion is related to alcohol use. Either way, my health team knows it is there, and it is now part of my baseline.

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I thought the same for myself with regards to the lesion, but the last MRI identified it as a Hemangioma which we are born with. Sorry to hear about the BCR. I can't understand how PCa can be dormant for years and then show up. I assume they'll radiate your prostate bed and maybe do ADT? This should take care of things.

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