62-year-old male. Evaluate extent of prostate cancer. Pathology dated 8/26/2016 revealed adenocarcinoma of the left apex (Gleason 3+3), left mid gland (Gleason 3+3), right base (Gleason 3+4), right lateral base (Gleason 3+3), right lateral mid (Gleason 3+3), right lateral apex (Gleason 3+3). PELVIS:PROSTATE:Prostate Size: The prostate measures 4.5 cm in transverse, 3.8 cm in AP, and 4.5 cm in critical diameter.Peripheral Zone: Bilateral linear and wedge-shaped foci of T2 and ADC hypointense foci scattered throughout the peripheral zone, nonspecific. In the right mid gland, there is a 4.5 x 3.6 mm nodular T2 and ADC hypointense focus concerning for a suspicious lesion (axial series 801 image 19). An additional suspicious nodular T2 and ADC hypointense focus is identified in the midline apex (axial series 801 image 13) measuring 5 x 5 mm.Central Gland: Heterogenous appearance.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Suspicious nodular foci in the midline apex and right mid gland as described above. No extracapsular extension or pelvic lymphadenopathy.2.Scattered linear and wedge-shaped T2 hypointense foci of the peripheral zone are nonspecific.