58-year-old male with history of Gleason 8 prostate cancer. PELVIS:PROSTATE:Prostate Size: 3.2 x 4.6 x 5.3 cm.Peripheral Zone: High T1 signal in the peripheral zone bilaterally, most compatible with hemorrhage. This finding limits sensitivity for prostate cancer detection. Within this limitation, there is a small, ill-defined focus of restricted diffusion in the left apex measuring up to 7 x 7 mm (series 803/264) with corresponding low T2 signal, suspicious for prostate cancer.Central Gland: Heterogeneous.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: Mild extracapsular extension of the left apical prostate cancer cannot be excluded; evaluation for such is difficult due to ill-defined appearance of the lesion.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific prominent right external iliac lymph node measures up to 9 mm (series 2201/79). No pathologically enlarged lymph nodes by size criteria.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Small focus of prostate cancer in the left apex. Mild extracapsular extension cannot be excluded.