History of prostate cancer. Multifocal 3+4 cancer. PELVIS:PROSTATE:Prostate Size: 2.4 x 4.4 x 3.5Peripheral Zone: Multifocal sites of signal abnormality with the dominant lesion in the left peripheral mid gland there is T2-weighted hypointensity with associated postcontrast enhancement extending to the apex and base of the prostate measuring up to 1.5 x 1.1 cm (series 1101/14) compatible with patient's prostatic adenocarcinoma. Central Gland: BPHSeminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: There is extra prostatic extension along the anterolateral aspect of the left peripheral zone adjacent to the dominant lesion.BLADDER: No significant abnormality noted.LYMPH NODES: Mildly prominent right external iliac lymph node noted measuring 6 mm.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multifocal prostatic adenocarcinoma with suspected extraprostatic extension along the anterolateral aspect of the left peripheral zone mid gland lesion.2.No pelvic lymphadenopathy by size criteria.3.No evidence of seminal vesicle invasion.