History of prostate cancer diagnosed in 2009. PSA of 4.64. 2009 biopsy showed 3+3 disease involving 1 of 5 cores on the right, 5% of tissue. PELVIS:PROSTATE:Prostate Size: 5.4 x 2.2 x 4.5 cm.Peripheral Zone: The peripheral zone is relatively homogeneously T2 hyperintense. There are a couple punctate T2 hypointense foci with low ADC signal such as in the left medial mid gland measuring 2 to 3 mm (series 601/16 and series 704/264). This focus also has increased signal on high 1550 b value images (710:280)Central Gland: Mild changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No dominant lesion is evident. A few tiny foci in the left mid gland are nonspecific, but one of which is suspicious as above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.