Newly diagnosed prostate cancer, considering focal therapy or active surveillance. PSA 13.5. Prostate biopsy revealing Gleason 3+3 in the left lobe, one out of 12 cores. PELVIS:PROSTATE:Prostate Size: 5.3 x 4.3 x 3.8 cm.Peripheral Zone: Within the right mid peripheral zone, there is a 5 x 8 mm focus of abnormally decreased T2 and ADC signal (series 601, image 17) suspicious for neoplasm. There is an additional small focus of abnormally decreased ADC signal within the medial left mid peripheral zone (series 704, image 244) measuring 5 mm also suspicious for neoplasm.Central Gland: No significant abnormality.Seminal Vesicles: No significant abnormality.Extracapsular Extension: The right mid peripheral zone lesion appears to abut the capsule adjacent to the right neurovascular bundle but does not appear to extend beyond the capsule or to invade the 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.
Left and right peripheral zone lesions suspicious for neoplasm as described above without specific evidence of extracapsular extension.