A patient with a history of pelvic radiation therapy for seminoma pres
ented with a prostatic tumor, which appeared predominantly of high sig
nal intensity on T2-weighted magnetic resonance images; low-signal-int
ensity tissue also extended to the pelvic sidewall. At surgical pathol
ogy, the tumor was determined to be radiation-induced sarcoma of the p
rostate, and the extraprostatic tissue was postradiation fibrosis.