Male 58 years old Reason: prostate cancer History: prostate cancer PELVIS:PROSTATE:Prostate Size: 3.7 x 4.1 x 4.0 cm.Peripheral Zone: Diffuse intrinsic T1 hyperintense signal throughout the prostate, particularly the peripheral zone suggestive of hemorrhage. Multiple foci of abnormal T2 hyperintense signal within the peripheral zone. A dominant focus of signal abnormality measures 0.7 x 1.2 cm in the right posterior basal/mid gland. A second dominant focus measures 0.6 x 1.1 cm in the left posterolateral base/mid gland. Central Gland: Heterogeneous.Seminal Vesicles: No significant abnormality, in particular no evidence of seminal vesicle invasion. Extracapsular Extension: There is suspicion for bilateral extracapsular extension. This is in the region of the expected location of the neurovascular bundles.BLADDER: No significant abnormality noted.LYMPH NODES: Mildly prominent external iliac chain lymph nodes are nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Two dominant foci of signal abnormality in the peripheral zone suspicious for prostatic carcinoma. There is suspicion for bilateral extracapsular extension.