56-year-old man with history of prostate biopsy in 7/2016 demonstrating Gleason 7 adenocarcinoma in the left apex and the Gleason 6 adenocarcinoma in the left mid gland. PELVIS:PROSTATE:Prostate Size: 45 x 35 mm.Peripheral Zone: The left apical peripheral zone (401/60) there is a 9 x 5 mm area of T2 hypointensity and diffusion abnormality (708/164). This region abuts the prostatic capsule with overlying indistinctness and subtle disruption of the capsule suggested. Scattered postbiopsy change with increased T1 signal seen in the peripheral zone.Central Gland: Nodular and enlarged.Seminal Vesicles: Normal in appearance.Extracapsular Extension: Irregularity of the left posterolateral prostatic capsule suggests invasion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left apical focus of signal abnormality suspicious for adenocarcinoma with suspected focal extracapsular invasion. 