Male 65 years old staging of prostate cancer. Outside biopsy showed left lateral Gleason 3+3 ~2% of specimen, left sextant 3+4 5%, right lateral 3+4 2%, right sextant 3+4 2%. PELVIS:PROSTATE:Prostate Size: 4.9 x 4.0 cmPeripheral Zone: A 4 mm nodule within the left mid gland is low on T2 and ADC with contrast enhancement suspicious for prostate carcinoma. There is haziness on T2 images throughout the right gland and a area of low T2 and ADC signal adjacent to the transition zone indicating a possible additional site of prostate carcinoma.Central Gland: Multiple benign nodules.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Bone marrow signal intensity is within normal limits.OTHER: No significant abnormality noted.
Left mid gland nodule is suspicious for prostate carcinoma. A nodule on the right adjacent to the transition zone may represent a second site of disease. No extracapsular extension.