Reason: hx of prostate cancer, scheduled for prostatectomy, evaluate further to guide nerve sparing and for extraprostatic disease History: see aboveBiopsy 3/22/2016: Right base Gleason 6, right mid Gleason 6, right apex Gleason 7, left apex Gleason 7 PELVIS:PROSTATE:Prostate Size: 4.4 x 2.8 x 3.4 cmPeripheral Zone: There is ill-defined low T2 signal in the left mid and apex peripheral zone (801/10) without early enhancement, suspicious for prostate adenocarcinoma. In the left apex, this lesion measures approximately 2.0 x 1.2 cm and has an ill-defined capsule with enhancing spiculations (801/11), suggestive of extracapsular extension.Central Gland: BPH nodules.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The left apical lesion lies immediately adjacent to the capsule which is ill-defined with enhancing spiculations, suggestive 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.
1.Ill-defined region of low T2 signal in the left mid and apex peripheral zone is suspicious for prostatic adenocarcinoma with findings suggestive of extracapsular extension.2.No pelvic lymphadenopathy.