Recently diagnosed prostate cancer on active surveillanceEvaluate for dominant lesion for biopsy. Biopsy dated 1/21/2016 showed 3+3 vessel 1 mm 5% focus in the right apex. PELVIS:PROSTATE:Prostate Size: 3.3 x 4.9 x 4.3 cmPeripheral Zone: Mild hemorrhage in the left mid gland/apex. 3 mm rounded left mid gland T2 hypointense focus, low ADC signal suggested (see key image, suboptimally assessed secondary to very small size), indeterminate but small neoplastic focus not excluded. Wedge-shaped areas of T2 hypointensity seen medially bilaterally at mid gland and apex (posterior to urethra) nonspecific but favored to be scarring given configuration. Central Gland: BPH, probable BPH nodules.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymphadenopathy.BONES, SOFT TISSUES: Subchondral degenerative femoral cyst formation. Small right fat-containing inguinal hernia.OTHER: No significant abnormality noted.
3 mm left mid gland T2 hypointense rounded focus, low ADC signal suggested, indeterminate but tiny neoplastic focus not excluded. Wedge-shaped areas of T2 hypointensity seen medially bilaterally at mid gland and apex (posterior to urethra) nonspecific but favored to be scarring given configuration. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.