What to ask surgeon after MRI

[Adam10]

My MRI scan in July 2018 showed three suspicious prosthetic nodules measuring 8×8×8 and 6×7×7 and 9×6×6 mm. A 0.3 cc stranded wedge shaped area of lower T2 signal and moderate restriction but not bright enhancement, seen in right posterior peripheral zone at mid client extending to within 5 mm of top of tower frozen. On sagittal and Coronel images, this looked moderately suspicious and scored 4/5 [significant tumor likely] there was no visible extracapsular tumor or bolt. Prostate volume was 41 cc.

I had HIFU in late 2018. My latest MRI scan July 2021 shows no T2 signal fibrosis in place of right peripheral zone extending from Apex to base. There is no focal enhancement evident within this, in keeping with low probability of significant residual recurrent tumor, scoring 2/5 [significant tumor unlikely]. Prostate volume is 32 cc.

There is stable diffuse mild reduced T2 signal/ADC and early enhancement throughout left peripheral zone - likely related to atrophy stroke information and unlikely to mask significant to me [2/5]. There remains stable nodular hyperplasia of the transition zone – no suspicious focal lesson evident [2/5). There is no seminal vesicle tumor or size significant pelvic lymphadenopathy.

Sorry for such long text. Would be grateful for any comments and guesses about interpretation of the above. I’m seeing my surgeon tomorrow and would like ideas of questions to ask.

[Tall_Allen]

It's very difficult to accurately read mpMRIs of HIFU tissue. Suggest you biopsy both suspicious area and treated area and have it read by Epstein at Johns Hopkins.