Recent diagnosis of prostate cancer (Gleason 6 at the right lateral mid and Gleason 6 at the left lateral base). PELVIS:PROSTATE:Prostate Size: The prostate measures 4.6 x 2.5 cm.Peripheral Zone: Within the right posterior inferior peripheral zone there is a T2 hypointense, ADC hypointense lesion measuring 0.7 x 0.5 cm (series 701, image 16), suspicious for malignancy. An additional T2 hypointense, ADC hypointense lesion is identified within the left mid posterior peripheral zone measuring 0.8 x 0.8 cm (series 701, image 14), suspicious for malignancy. There are scattered foci of T1 hyperintense signal scattered throughout the peripheral zone, probably corresponding to hemorrhage at prior biopsy sites.Central Gland: There is a symmetric band of T2 hypointense, ADC hypointense signal extending along the anterior central zone, probably fibromuscular stroma. Seminal Vesicles: The seminal vesicles are normal in appearance, without evidence of invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: The external iliac lymph nodes are mildly prominent, nonspecific. A representative right external iliac measures 0.9 x 0.6 cm (series 701, image 31). Scattered subcentimeter pelvic lymph nodes are present.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multifocal prostatic lesions consistent with biopsy-proven neoplasm. No extracapsular extension or seminal vesicle invasion.2.Nonspecific mildly prominent bilateral external iliac lymph nodes.