History of extensive bilateral prostate cancer. PELVIS:PROSTATE:Prostate Size: The prostate measures 5.3 x 4.6 x 3.7 cm (transverse by CC by AP).Peripheral Zone: There is extensive signal abnormality with decreased T2 signal and restricted diffusion throughout the near entirety of the left peripheral zone compatible with tumor. This abnormal signal extends into the transitional zone compatible with tumor invasion. There is an additional signal abnormality in the median aspect of the right base suspicious for additional tumor involvement (series 501 image 11). In the right apex just to the right of the urethra there is an additional focus of low T2 signal with restricted diffusion measuring 6 x 6 mm in axial dimension suspicious for additional disease (series 703 image 24).Central Gland: Findings compatible with tumor invasion into the left transitional zone.Seminal Vesicles: There is complete loss of the normal high T2 signal in the seminal vesicles suspicious for tumor involvement.Extracapsular Extension: The left lateral and posterior aspects of the capsule in the mid gland and base are indistinct suspicious for extracapsular extension (series 501 image 11 and 17).BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic or inguinal lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Extensive tumor involvement affecting the near entirety of the left-sided peripheral zone and extending into the left transitional zone.2.Findings suspicious for extracapsular extension on the left and involvement of the seminal vesicles.3.Additional foci of signal abnormality in the right base and apex suspicious for additional malignancy.4.No lymphadenopathy or other evidence of distant metastatic disease.