61-year-old male with prostate cancer. Evaluate for extraprostatic disease spread. Pathology dated 8/4/2016 showed right-sided adenocarcinoma (Gleason 3+3) and left-sided adenocarcinoma (Gleason 3+4). PELVIS:PROSTATE:Prostate Size: The prostate measures 5.9 cm in transverse, 3.6 cm in AP, and 5.3 cm in craniocaudal diameter.Peripheral Zone: Linear T2 hypointense foci throughout the peripheral zone are suggestive of chronic prostatitis versus scarring. In the left mid gland, there is a focal T2 and ADC hypointense region measuring 1.2 x 0.8 cm (axial series 501 image 20) (axial series 608 image 324) concerning for a dominant nodule.Central Gland: Heterogenous appearance compatible with BPH. There is an asymmetric enlarged hyperplastic nodule distorting the adjacent right peripheral zone (axial series 501 image 18), which partially limits evaluation of the exam.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Nonspecific intramuscular enhancement adjacent to the bilateral femoral necks (left greater than right) is of uncertain clinical significance (axial series 2001 image 89).OTHER: No significant abnormality noted.
1.Dominant nodule in the left mid gland as described above. Right gland particularly peripheral zone suboptimally assessed as above.2.Linear T2 hypointense foci of the background peripheral zone bilaterally suggestive of chronic prostatitis versus scarring.