Prostate malignancy PELVIS:PROSTATE:Suboptimal assessment due to patient motion artifact and extensive T1 hyperintense signal throughout peripheral zones, consistent with hemorrhage.Prostate Size: 4.6 cm in transverse dimension x 4 cm in craniocaudal dimension x 4.8 cm in AP dimension.Peripheral Zone: Globular right-sided mid peripheral zone posterolaterally located T2 hypointense lesion measuring 8 x 6 mm on image 38 series 701, focus abuts prostatic capsule without definite extracapsular extension. Possible mild corresponding decreased ADC signal suggested. Mild adjacent as well as contralateral peripheral zone linear scarring seen as evidenced by focal sites of curvilinear T2 hypointense signal. Additional apical right-sided paramedian 9 x 6 mm focus demonstrating similar signal characteristics seen on image 12 series 501.Central Gland: Moderate degree BPH visualized. Seminal Vesicles: Unremarkable, symmetric in appearance.Extracapsular Extension: Right-sided mid peripheral zone lesion alluded to above abuts prostatic capsule without definite extracapsular extension.BLADDER: Extrinsic impression by prostate gland.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Small left-sided fat-containing inguinal hernia.OTHER: Extensive T1 hyperintense signal seen throughout peripheral zones, consistent with hemorrhage. Colon diverticulosis.
1. Suboptimal assessment due to patient motion artifact and extensive T1 hyperintense signal throughout peripheral zones, consistent with hemorrhage.2. Indeterminate 8 mm right-sided mid peripheral zone focus with low T2 signal seen, corresponding decreased ADC signal not as well visualized (may be technical). Additional apical right-sided paramedian 9 x 6 mm focus demonstrating similar signal characteristics also seen.