History of prostate cancer. Interested in focal ablation. Patient reports 3+3 disease on random ultrasound-guided biopsy. PELVIS:PROSTATE:Prostate Size: 6.6 x 4.7 x 7.7 cmPeripheral Zone: Mild thinning and scarring of the peripheral zone without a discrete suspicious lesion.Note is made of small foci of post-biopsy hemorrhage.Central Gland: In the right central zone region there is a distinct asymmetric 1.0 x 1.0 cm lesion (series 901/26) which is T2 hypointense and demonstrates restricted diffusion and arterial enhancement which may represent a site of prostatic carcinoma.There are several T2 weighted hypointense lesions in the transition zone, one of which in the left anterior mid gland appears to demonstrate more significant restricted diffusion measuring 1.0 x 0.9 cm (series 603/264).Significant benign prostatic hyperplasia. Median lobe hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Several nonspecific small subcentimeter pelvic lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.1.0 cm right central zone asymmetric lesion may represent a site of prostatic carcinoma.2.1.0 left anterior mid gland transitional zone lesion may represent benign prostatic hyperplasia but has relatively increased restricted diffusion and is amenable to fusion biopsy.3. Prostatomegaly with marked benign prostatic hyperplasia.