3.8 cm mass occupying virtually whole of the prostate gland, primarily on the left side with avid diffusion restriction. This extends beyond the prostatic capsule into the left mesorectal fat with 5 mm of mural invasion of the rectum between 12 and 3 o'clock.
6 mm right obturator node (small but round). No iliac lymphadenopathy.
Widespread metastases in the pelvis and spine.
Small fatty right inguinal hernia.