64 year old male with prostate cancer- staging exam. PROSTATE:Prostate Size: 5.5 x 4.4 x 4.5 cm, TR x AP x CCPeripheral Zone: There is a T2 hypointense enhancing lesion in the right mid gland that measures 8 x 7 mm (series 801, image 17).Central Gland: T2 hypointense enhancing lesion in the left anterior prostate close to its inferior margin measures 13 x 9 mm (series 801, image 10). Seminal Vesicles: No significant abnormality noted. Extracapsular Extension: Both lesions described above appear to abut and extend across the capsule. The lesion in the right mid gland also invades the adjacent extracapsular neurovascular bundle. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.T2 hypointense enhancing lesion in the left anterior/inferior prostate that appears to abut/extend across the prostatic capsule, suspicious for neoplasm.2.Additional T2 hypointense lesion in the right mid gland that extends across the capsule, with invasion of the adjacent extracapsular neurovascular bundle. Findings are also suspicious for neoplasm at this site. 