 PELVIS:PROSTATE:Prostate Size: 5.0 x 6.3 x 7.5 cmPeripheral Zone: Dominant lesion in the left mid gland measuring 2.5 x 1.3 cm with low T2-weighted signal intensity, restricted diffusion and arterial enhancement.1.1 x 0.6 cm right paramedial apex lesion with similar imaging characteristics. 1.6 x 1.4 cm lesion in the left base with similar imaging characteristics.Central Gland: Benign prostatic hyperplasia.Seminal Vesicles: The left base lesion as well as the left mid gland region appear to extend into the left seminal vesicle.Extracapsular Extension: Suspected extracapsular extension of the left mid gland lesion posterolaterally.BLADDER: No significant abnormality noted.LYMPH NODES: Multiple enlarged left pelvic lymph nodes in the common, external and internal iliac chains. The largest lymph node measures 3.1 x 1.9 cm (series 1 901/104 ). Nonspecific left perirectal fossa lymph node.BONES, SOFT TISSUES: Large left inguinal hernia containing sigmoid colon.MRI PROSTATE BIOPSY PROCEDURE
1. Foci suspicious for prostatic adenocarcinoma in the left mid gland, right apex and left base with suspected left seminal vesicle invasion and extracapsular extension. Successful MRI guided core-biopsies of the dominant 2.5 cm left mid-gland peripheral zone lesion.2. Pelvic lymphadenopathy.3. Large left inguinal hernia containing sigmoid colon.