Prostate cancer PELVIS:PROSTATE:Prostate Size: 5.6 cm in transverse dimension by 4.3 cm in AP dimension by 3.8 cm in craniocaudal dimension.Peripheral Zone: Ill-defined abnormal signal in peripheral zones bilaterally at level of base. On right, focus of signal abnormality measures approximately 2.2 cm in transverse by 1.4 cm in AP by 0.8 cm in craniocaudal dimensions. On left, focus of signal abnormality measures approximately 1.5 cm in transverse x 1.7 cm in AP by 1.3 cm in craniocaudal dimensions. Corresponding low ADC and T2 hypointense signal seen and associated extracapsular extension and seminal vesicle invasion present. Additional subcentimeter low ADC signal seen in right-sided peripheral zone at level of midgland laterally, nonspecific. Areas of T1 hyperintensity in gland likely reflect postbiopsy hemorrhage.Central Gland: Moderate BPH-related changes. Seminal Vesicles: Invasion present.Extracapsular Extension: Present.BLADDER: Underdistended, making evaluation suboptimal, but no definite bladder invasion delineated.LYMPH NODES: Subcentimeter inguinal lymph nodes with fatty hila, subcentimeter pelvic sidewall nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Colonic diverticulosis.
1. Areas in prostate base suspicious for malignancy with associated seminal vesicle invasion as described. Additional small signal abnormality in right midgland peripheral zone, nonspecific.