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72-year-old male was seen with elevated PSA. Rectal: Prostate gland moderately enlarged with each lobe about 2.5 x 1.5 cm; relatively flat and smooth.
CT scan: moderately enlarged prostate without distinct extracapsular extension or asymmetry of seminal vesicles.
Chest X-ray normal. Bone scan: no metastatic disease.
Cystoscopy: urethra normal, bladder mildly trabeculated.
PSA elevated 10.5 ng/ml
Prostate needle biopsy: L prostate Gleason 6 adenocarcinoma. R prostate Gleason 7 (4+3) adenocarcinoma.
Radiation: Implantation of 102 I-125 seeds for a total of 25.7mCi