History of prostate cancer. 5/21/2013 TRUS biopsy showed 3+3 disease in the left medial base. PELVIS:PROSTATE:Prostate Size: 4.8 x 6.0 x 6.9 cmPeripheral Zone: Demonstrated again are to punctate suspicious foci in the mid posterior peripheral zone. The more superior lesion measures approximately 5 mm (series 801/20). The more inferior lesion measures approximately 4 mm (series 801/17). These are both associated with restricted diffusion and are unchanged when compared to the prior study.Central Gland: Significantly enlarged transition zone consistent with benign prostatic hyperplasia.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.BONES, SOFT TISSUES: Mild nonspecific dilatation of the partially imaged right distal ureter.OTHER: No significant abnormality noted.
Two subcentimeter foci suspicious for prostatic adenocarcinoma in the mid posterior peripheral zone are unchanged. No evidence of extraprostatic extension or pelvic lymphadenopathy.