Prostatitis CT scan

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2], Usama Talib, BSc, MD [3]

Overview

CT scan in a patient with prostatitis shows edema of the prostate gland with diffuse enlargement, mostly in the peripheral zone. If the fever fails to resolve after 36 hours of therapy an abscess is suspected and needs further workup to rule out this possibility. An abscess may be seen as a rim enhancing hypodensity which can either have single or multiple locuses.[1][2][3][4]

CT scan

When an abscess is included in the differential diagnosis of prostatitis, a contrast CT scan is preferred. CT scan in a patient with prostatitis shows edema of the prostate gland with diffuse enlargement, mostly in the peripheral zone. An abscess can also be identified as a rim enhancing hypodensity which can either be unilocular or multilocular. Central zone can be involved rarely such as after the transurethral resection of the prostate (TURP).[1][2][5]

References

  1. 1.0 1.1 Prostatitis. Radiopaedia 2016. http://radiopaedia.org/articles/prostatitis. Accessed on Feb 09, 2017
  2. 2.0 2.1 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
  3. Choon-Young Kim, Sang-Woo Lee, Seock Hwan Choi, Seung Hyun Son, Ji-Hoon Jung, Chang-Hee Lee, Shin Young Jeong, Byeong-Cheol Ahn & Jaetae Lee (2016). "Granulomatous Prostatitis After Intravesical Bacillus Calmette-Guerin Instillation Therapy: A Potential Cause of Incidental F-18 FDG Uptake in the Prostate Gland on F-18 FDG PET/CT in Patients with Bladder Cancer". Nuclear medicine and molecular imaging. 50 (1): 31–37. doi:10.1007/s13139-015-0364-y. PMID 26941857. Unknown parameter |month= ignored (help)
  4. J. Curtis Nickel (2003). "Recommendations for the evaluation of patients with prostatitis". World journal of urology. 21 (2): 75–81. doi:10.1007/s00345-003-0328-1. PMID 12684835. Unknown parameter |month= ignored (help)
  5. Robert Lucaj & Dwight M. Achong (2017). "Concurrent Diffuse Pyelonephritis and Prostatitis: Discordant Findings on Sequential FDG PET/CT and 67Ga SPECT/CT Imaging". Clinical nuclear medicine. 42 (1): 73–75. doi:10.1097/RLU.0000000000001415. PMID 27824318. Unknown parameter |month= ignored (help)

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