62-year-old male with widespread Gleason 3+4 = 7 prostate cancer. Evaluate for surgical planning.Per pathology report: Prostate, left lateral mid; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+3=6.Prostate, left lateral apex; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+3=6.Prostate, left medial base; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+3=6.Prostate, left medial mid; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+4=7.Prostate, right lateral base; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+4=7.Prostate, left base lateral; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+4=7.Prostate, right medial base; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+3=6.Prostate, right medial mid; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+4=7. PELVIS:PROSTATE:Prostate Size: 5.0 x 3.3 cm.Peripheral Zone: There are multiple lesions demonstrating T2 hypointensity with corresponding low ADC signal and enhancement consistent with patient's known adenocarcinoma. Left base lesion measures 0.8 x 0.8 cm (series 1601, image 18). Midline mid gland lesion measures 1.2 x 0.8 cm with mild capsular bulging (series 1061, image 17). Right apex lesion measures 0.5 x 0.4 cm (series 1601, image 12). Additionally, there are regions of T1 hyperintensity in the peripheral zone consistent with post-biopsy hemorrhage.Central Gland: The central gland is mildly heterogeneous consistent with benign nodules.Seminal Vesicles: The seminal vesicles are unremarkable.Extracapsular Extension: No evidence of extracapsular extension or perineural spread.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple prostatic lesions as above consistent with known adenocarcinoma without evidence of extracapsular extension.