Prostate cancer. Evaluate for high risk features. PELVIS:PROSTATE:Prostate Size: 2.9 x 5.6 x 4.2 cmPeripheral Zone: In the left medial apex there is a 1.0 x 0.5 cm lesion with decreased T2/ADC signal (series 1001/11) as well as diffusion restriction (series 1104/1 84).In the right lateral mid gland there is a 9 x 7 mm focus with decreased T2/ADC signal (series 801/68) as well as associated restricted diffusion (series 1104/224).There is atrophy at the right base with ill-defined decreased T2 signal but no associated abnormal signal on ADC/DWI.Central Gland: Mild benign prostatic hyperplasia. No discrete suspicious lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Small left external iliac lymph nodes are nonspecific. No additional enlarged pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dominant 1.0 cm left medial apex and 0.9 cm right lateral mid gland lesions, suspicious for prostatic adenocarcinoma.2.Indeterminate ill-defined lesion at the right base. 3.No evidence of extracapsular extension or pelvic lymphadenopathy.