3+4 prostate adenocarcinoma in the left base and left apex. 3+3 disease in the left mid and right mid. PELVIS:PROSTATE:Prostate Size: 2.6 x 4.5 x 4.4 cmPeripheral Zone: 2.3 x 1.3 cm T2 hypointense lesion in the left base with restricted diffusion (series 801/19 and series 904/324) with arterial enhancement (series 1501/2095). Scattered ares of ill-defined T2 hypointense focus in the right mid-gland peripheral zone extending into the transition zone with subtle restricted diffusion measuring approximately 1.6 x 1.1 cm (series 801/14 and series 904/224) is non-specific.7 mm left apex restricting lesion with associated decreased T2-weighted signal (series 904/184).Central Gland: No significant abnormality noted.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: There is mild soft tissue spiculation adjacent to the left base lesion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant 2.3 cm lesion in the left base in addition to other suspicious foci compatible with patient's multifocal prostatic adenocarcinoma. Possible extraprostatic extension adjacent to the left base lesion without specific evidence of seminal vesicle invasion. No enlarged pelvic lymphadenopathy.