History of prostate cancer status post robotic-assisted laparoscopic prostatectomy. 10/12/2015 biopsy showed 3+4 left apex and 3+3 right lateral apex prostatic adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 3.4 x 5.0 x 4.5 cmPeripheral Zone: In the paramedial apex there is a 1.0 x 0.9 cm focus of T2 hypointensity (series 701/14) and associated restricted diffusion (series 1003/204) suspicious for prostatic adenocarcinoma. Additional focus noted in the left lateral apex measuring approximately 5 x 4 mm (series 701/16; series 1003/244).Central Gland: Changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant 1.0 cm lesion in the paramedial apex is suspicious for prostatic adenocarcinoma. No evidence of extraprostatic extension or pelvic lymphadenopathy.