72-year-old man with history of Gleason 6 prostate adenocarcinoma in the right lateral base on biopsy from 6/15/2016. PELVIS:PROSTATE:Prostate Size: 56 x 37 mm.Peripheral Zone: In the peripheral zone of the right prostatic base (901/22) there is a 11 x 5 mm area of T2 hypointensity and diffusion restriction (408/424). This area also appears to extend from the capsule and abuts the right seminal vesicles (1002/95).Additionally in the peripheral zone of the left mid gland (501/76) there is a 9 x 8 mm area of T2 hypointensity and diffusion restriction without extension to the capsule.Central Gland: Nodular hypertrophy.Seminal Vesicles: Previously described tumor appears to abut the right seminal vesicles which otherwise appear normal.Extracapsular Extension: Apparent extracapsular extension from the right base as described above.BLADDER: No significant abnormality noted.LYMPH NODES: Small external iliac nodes noted without significant lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right lateral base tumor suspicious for adenocarcinoma with extension beyond the capsule and questionable involvement of the right seminal vesicles.2.Additional focus of abnormal signal in the left mid gland also suspicious for adenocarcinoma.