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Fig. 3 46-year-old man with Gleason grade 8 prostate cancer 10 months after
retropubic radical prostatectomy. T2-weighted axial endorectal-coil MR image
shows retained low-signal-intensity lateral portion of seminal vesicle on left
(arrows). Medial to seminal vesicle remnant, adjacent to rectum, is
soft-tissue mass of intermediate signal intensity (asterisk),
suggestive of local recurrence. Transrectal sonography-guided biopsy of mass
showed prostatic adenocarcinoma. Configuration and signal intensity differ
between presumably fibrotic seminal vesicle remnant and local recurrence.
Seminal vesicle remnant is of lower signal intensity (similar to adjacent
pelvic muscles) and has irregular, convoluted shape. B = bladder, R = rectum,
M = muscles.