54-year-old man with history of prostate cancer, evaluate prior to possible focal ablation therapy. Additional history as per chart indicates a needle biopsy in the left mid prostate gland which identified prostate adenocarcinoma (Gleason grade 3+3) involving approximately 5% of a 1 mm tissue sample. PELVIS:PROSTATE:Prostate Size: 42 x 29 mmPeripheral Zone: There is a questionable focus of T2 hypointensity and diffusion restriction in the left apex measuring approximately 2 x 3 mm (series 1101, image 8). A prostatic utricle cyst is noted.Central Gland: The central gland is unremarkable.Seminal Vesicles: Seminal vesicles are unremarkable.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: The bladder is normal.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Subcentimeter focus of signal abnormality in the left prostatic apex which may represent a very small focus of adenocarcinoma, however this finding is equivocal.