A limited unenhanced CT study (due to renal functions impairment) has revealed:
- enlarged prostate gland with heterogeneous appearance and irregular margins
- signs of seminal vesicle invasion and infiltration of the adjacent posterior and inferior urinary bladder walls as well as the distal segments of both ureters more at the right side with moderate right hydroureteronephrosis secondary to ureteric orifice compromise and mild left hydroureteronephrosis
- slightly blurred pelvic fat planes surrounding the prostate and seminal vesicles as a sign of infiltration
- multiple variable sized bilateral iliac lymph nodes in the vicinity of the mass, the largest is seen on the right side and presents as a nodal mass
- moderate circumferential mural thickening of the rest of the urinary bladder walls
- right moderate scrotal hydrocele, as well as the right inguinal small encysted collection
- incidental finding of a degenerated L5-S1 disc with intra-discal vacuum phenomenon