61-year-old male with new diagnosis of prostate cancer; Gleason 4+4 = 8 right mid prostate; Gleason 4+5 = 9 left base PELVIS:PROSTATE:Prostate Size: 3.1 x 3.2 x 3.8 cmPeripheral Zone: There is an elongated T2 hypointense lesion with restricted diffusion in the left peripheral zone extending from the apex to the base, largest dimensions in the mid gland measuring 16 x 9 mm. T2 hypointensity extends across midline into the right mid gland peripheral zone. This lesion demonstrates early enhancement and rapid washout. T2 hypointense lesion in the right mid gland peripheral zone with associated restricted diffusion measuring 6 x 3 mm. Additional smaller lesions are noted. Central Gland: Moderate degree of benign prostatic hypertrophy. There is extension of the left peripheral zone tumor into the mid transition zone exerting mass effect on the urethra with corresponding deformity noted. Seminal Vesicles: Extension of the left peripheral zone lesion to the medial aspect of the seminal vesicles (series 503, image 70). Extracapsular Extension: There is extracapsular extension by the left peripheral zone lesion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large hypointense lesion in the left peripheral zone with portions extending from apex to base and crossing midline to the right at level of mid gland peripheral zone consistent with known diagnosis of prostate carcinoma. Additional suspicious lesions are also noted. 