History of prostate cancer bilaterally in right base, mid, and apex, and left lateral apex. PELVIS:PROSTATE:Prostate Size: 6.2 x 4.0 x 4.2 cm. Peripheral Zone: Multiple subcentimeter foci of T2 hypointensity and diffusion restriction in the mid-gland likely represent areas of carcinoma. Central Gland: There is a 2.2 x 1.6 cm area of T2 hypointensity with diffusion restriction and enhancement (series 1201, image 10) in the anterior aspect of the apex, compatible with carcinoma. The remainder of the prostate is enlarged and heterogeneous with nodules, compatible with marked BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. No lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted. No suspicious osseous lesions.
1.Dominant 2.2 cm mass in the anterior aspect of the prostatic apex compatible with carcinoma. No evidence of extracapsular extension or pelvic lymphadenopathy.2.Subcentimeter foci in the peripheral zone bilaterally also compatible with carcinoma. 