History of prostate cancer, evaluate for focal laser ablation. PELVIS:PROSTATE:Prostate Size: 4.5 x 3.0 x 3.7 cm.Peripheral Zone: There is diffuse T2 hypointensity of the peripheral zone which somewhat limits evaluation and which may be related to prostatitis. There is an area of decreased T2 and ADC signal within the left mid gland which measures approximately 0.9 x 0.8 cm (series 801, image 114) which is suspicious for neoplasm. There is an additional subcentimeter focus of decreased T2 signal within the right mid peripheral zone which lacks corresponding ADC signal abnormality and which is nonspecific.Central Gland: Multiple well circumscribed nodules compatible with hyperplastic nodules. There is an area of decreased ADC signal in the left transitional zone (series 704, image 404) measuring 1.5 x 1.1 cm which lacks associated T2 signal abnormality and which is nonspecific.Seminal Vesicles: No significant abnormality.Extracapsular Extension: No definite 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.
Area of signal abnormality within the left peripheral zone mid gland suspicious for neoplasm. Additional areas of signal abnormality within the right peripheral zone mid gland and left transitional zone which are nonspecific as above.