65 years, Male, Reason: research exam History: prostate cancer. Found to have PSA elevation to 6.2. This prompted TRUS biopsy 12/23/2014 revealing Gleason 6 disease involving 6/12 cores: Right base to apex, left base to mid gland. PELVIS:PROSTATE:Prostate Size: 5.2 x 2.4 x 5.2 cmPeripheral Zone: Lesion in the mid gland/apex peripheral zone, immediately left of midline measures 0.6 x 1.0 cm (903/204) and demonstrates low signal on ADC/T2 and early enhancement, suspicious for prostatic adenocarcinoma. An additional small foci more superiorly in the left mid gland peripheral zone measures 0.4 x 0.4 cm (903/304) with low T2/ADC signal and without early enhancement, suspicious for prostatic adenocarcinoma.Central Gland: Multiple well-circumscribed heterogeneous lesions in the central gland suggest benign prostatic hypertrophy.Seminal Vesicles: No involvement.Extracapsular Extension: No extracapsular extensionBLADDER: No significant abnormality noted.LYMPH NODES: Right external iliac node measures 7 mm (2501/77)BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Two small foci within the left mid gland peripheral zone and right mid gland/apex peripheral zone with signal characteristics suspicious for prostatic adenocarcinoma.2.Indeterminate right pelvic lymph node.