Reason: staging exam History: high grade prostate cancer recently diagnosed PELVIS:PROSTATE:Prostate Size: 4.7 x 3.5 x 3.7 cmPeripheral Zone: Scattered low T2 signal throughout the peripheral zone may reflect chronic prostatitis and lowers the sensitivity for prostate MRI.There is a lesion of the left apex measuring 1.1 x 0.7 cm which is dark on T2/ADC and demonstrates early enhancement, suspicious for prostatic adenocarcinoma.There is a large lesion in the right base which is dark on T2/ADC and suspected to represent a BPH nodule. Another small lesion in midline mid gland (704/464) is also dark on T2/ADC without early enhancement, indeterminate.Central Gland: BPH nodules.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Suspicious lesion in the left apex and indeterminate lesion in the central mid gland. No evidence of extracapsular extension.2.No pelvic lymphadenopathy.3.Low T2 signal throughout the peripheral zone may reflect chronic prostatitis and limits the sensitivity of prostate MRI.