74-year-old male. Evaluate for prostate cancer. Most recent PSA was 6.9 on 11/24/2015. He underwent TRUS biopsy on 1/8/2016 which revealed the following: RBM - Gleason 3+3=6 adenocarcinoma of the prostate, 2.0mmRBL - HGPINRMM - Gleason 3+3=6 adenocarcinoma of the prostate, 3.0mmRML - HGPINRAM - Gleason 3+3=6 adenocarcinoma of the prostate, 3.0mmRAL - Gleason 3+3=6 adenocarcinoma of the prostate, 1.0mmLBM - benign prostateLBL - Gleason 3+3=6 adenocarcinoma of the prostate, <1.0mmLMM - small foci of atypical glandsLML - HGPINLAM - benign prostateLAL - benign prostate PELVIS:PROSTATE:Prostate Size: The prostate measures 5.3 cm in transverse, 4.1 cm in AP, and 5.4 cm in length.Peripheral Zone: Suspicious subcentimeter focus in the right paramedian mid gland with ADC and T2 hypointense signal intensity (series 901 image 16, series 503 image 304). Suspicious subcentimeter focus in the right lateral apex with ADC and T2 hypointense signal intensity (series 901 image 10, series 503 image 24). Central Gland: In the anterior midline, there is a dominant lesion demonstrating ADC and T2 hypointense signal intensity (series 503 image 344, series 901 image 18) measuring 18 x 14 mm. There is loss of the capsular margin to the left of the midline (series 901 image 14) concerning for extracapsular extension.Seminal Vesicles: No significant abnormality noted. Extracapsular Extension: As described above.BLADDER: No significant abnormality noted.LYMPH NODES: No suspicious pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dominant lesion demonstrating ADC and T2 hypointense signal intensity in the anterior midline transitional zone with suspected left paramedian extracapsular extension.2.Suspicious subcentimeter ADC and T2 hypointense signal foci in the right paramedian mid gland and right lateral apex.