History of 3+4 adenocarcinoma the prostate. (Right lateral base). PELVIS:PROSTATE:Prostate Size: 3.1 x 5.9 x 4.7 cmPeripheral Zone: There is intrinsic T1 weighted signal intensity extending from the right apex medially to the right base laterally, likely related to postbiopsy hemorrhage, limiting evaluation. In the right medial apex there is a 1.3 x 0.9 x 1.0 cm lesion demonstrating T2 weighted hypointensity (series 701/15) and restricted diffusion (series 804/244). Enhancement is difficult to assess given the underlying T1 weighted signal. This may represent tumor or be related to hemorrhage.In the right base there is a 1.1 x 0.8 cm focus of T2-weighted hypointensity (series 701/19) with associated restricted diffusion (series 804/324) and early enhancement with washout (series 1801/1771) suspicious for adenocarcinoma.Central Gland: Changes of benign prostatic hyperplasia.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Large bilateral inguinal hernia with the left containing loops of colon.OTHER: No significant abnormality noted.
1.Post-biopsy hemorrhage resulting in T1-weighted hyperintensity limits evaluation of the peripheral zone.2.1.1 cm suspicious focus in the right peripheral zone base likely represents the patient's site of adenocarcinoma. No evidence of seminal vesicle invasion or extraprostatic extension.3.Additional rounded focus in the right apex measuring 1.3 cm may represent an additional tumor focus or be related to hemorrhage.