66-year-old man with prostate cancer. Biopsy showed 3+3 prostate adenocarcinoma in the right lateral base, right medial apex and left medial mid gland; 3+4 in the right lateral apex and left medial apex. PELVIS:PROSTATE:Prostate Size: 3.9 x 2.4 x 2.1 centimeters.Peripheral Zone: There is diffuse biliary appearance of the peripheral zone on T2-weighted images and evidence of extensive hemorrhage from previous biopsy. There is an 8 x 5 mm focus of T2 and ADC hypointensity in the left mid gland (series 4 lung, image 51) is suspicious for adenocarcinoma. This lesion may be continuous with another lesion extending to the base and straddling the peripheral zone and transitional zone measuring 14 x 10 mm (series 503, image 284). An additional smaller lesion in the right mid gland (series 4, image 54) may be an additional site of adenocarcinoma.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No extracapsular extension.BLADDER: The bladder is moderately distended and without focal lesion.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Bone marrow signal intensity is within normal limits for the patient's age.OTHER: No significant abnormality noted.
Foci of signal abnormality in the left mid gland extending to the base are suspicious for prostate adenocarcinoma. A smaller lesion in the right mid gland is also suspicious. No extracapsular extension or pelvic lymphadenopathy.