History of low risk prostate cancer. Recent biopsy at outside hospital biopsy demonstrated bilateral Gleason grade 3 + 3 = 6 adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 5.7 x 4.7 x 5.8 cm.Peripheral Zone: There is heterogeneous signal intensity within the peripheral zone. Two well-circumscribed T2 hypointense nodules are present within the right peripheral zone (series 801, images 30 and 21). There is a focus of abnormal signal within the right peripheral zone at the apex (series 801, image 18) which measures approximately 5 mm and demonstrates associated decreased signal on ADC images (series 604, image 324).Central Gland: Moderate benign prostatic hypertrophy without suspicious focal lesions.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: NoneBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: There is asymmetric atrophy of the right rectus abdominous muscle.OTHER: No significant abnormality noted.
5 mm focus of abnormal signal within the right peripheral zone apex suspicious for prostate carcinoma without evidence of extracapsular extension.