Presentation
CD: Known penile cancer. Admitted with a lower respiratory tract infection. Pseudomonas was detected in blood cultures.
Patient Data
No calcified stones in the gallbladder. No CBD dilatation. Unremarkable solid abdominal organs. No retroperitoneal or pelvic lymphadenopathy. No ascites.
Unprepared bowels. No obvious large bowel mass.
Suspicious hypodensity (~2.7 cm) on the left side of the periphery of the prostate.
2.9 cm well-defined low T1, high T2 ovoid abnormality at the posterolateral aspects of the left prostate extending from apex to base. Avid internal diffusion restriction. No periprostatic fat stranding or free fluid.
Normal seminal vesicles. No pelvic nodes. No bone lesion.
Impression
The appearance of the left side of the prostate is consistent with a prostatic abscess.
Case Discussion
The abnormality was not present on a CT performed 2 months before this admission (not shown). This gives credence to this being an abscess rather than a malignancy or other pathology.
Pseudomonas can rarely cause a prostatic abscess.
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