67-year-old male. Low risk prostate cancer. Please evaluate. PELVIS:PROSTATE:Prostate Size: 3.8 x 3.7 x 5 cm.Peripheral Zone: Subcentimeter T2 hypointense lesion in the left peripheral base that diffusion restricts (series 604, image 364), suspicious for prostate cancer.Central Gland: 1.4 x 0.9 cm T2 hypointense lesion in the TZ from the apex to the base with diffusion restriction and early enhancement consistent with prostate cancer (series 801, images 16; series 604 images 304 to 384).Seminal Vesicles: None.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal prostate cancer with dominant lesion in the TZ from the apex to the prostate; this is amenable to MRI guided biopsy.