MRI extracapsular extension and lymph node post surgery

I had a multiparametric 3T MRI for staging. From what I learned at the time, the limitation of MRI is sensitivity. It may miss small things that are there. However, if it sees something, it is likely to be there.

My report said: Abnormal signal and contrast enhancement in the base and mid
segments of the peripheral zone of the prostate, predominantly on the
left in the 2:00 to 6:00 axes, with an appearance that is suggestive of
left posterior extracapsular extension with possible neurovascular
bundle involvement by adenocarcinoma.

My doctor's comments on that were supportive, in that the "suggestive" appearance on MRI is rather reliable indicator that it's actually there. Generally, the MRI is more likely to miss things than to see things that are not actually there. Combined with several biopsy cores that were 70% to 100% involved, that all seemed consistent.

I think so. My MRI results said "No extraprostatic extension" and "There is no nodal disease"

Mike

As you can see from my signature
My mp mri had EPE positive but my path report had ece negative
I'm assuming epe and ece are the same

My MRI result

PELVIC LYMPH NODES: NO LYMPHADENOPATHY.

SEMINAL VESICLES: NORMAL AND SYMMETRIC..

IMPRESSION:

MULTIPLE AREAS SUSPICIOUS FOR CLINICALLY SIGNIFICANT CARCINOMA IN THE
PROSTATIC PERIPHERAL GLAND, WITH INDEX LESION IN THE RIGHT
MID/BASILAR ASPECT OF THE PERIPHERAL GLAND WITH EXTRA PROSTATIC
EXTENSION. PIRADS: 5

The size of the prostrate was also quite different
MRI put my prostrate at 31 ml but post op path had my prostrate at 49gms ( assuming almost 1ml is 1mg ) the readings were quite different - to me it indicates that the Doc who read the MRI assumed a smaller prostrate and cane out with the positive EPE finding.