Male 51 years old with prostate cancer on active surveillance, restaging MRI and biopsy. PELVIS:PROSTATE:Prostate Size: 5.3 x 4.4 cm.Peripheral Zone: There is a 6 x 5 mm focus of restriction diffusion in the left lateral apex (series 43, image 244) and a 1.2 x 7.3 cm focus of T2 signal abnormality in the left base (series 801, image 19) that demonstrates restricted diffusion.There are multiple linear areas of T1 hyperintensity consistent with post biopsy hemorrhage.Note is made of a utricle cyst.Central Gland: The central gland is heterogeneous consistent with benign nodules.Seminal Vesicles: The seminal vessels are unremarkable.Extracapsular Extension: No evidence of extracapsular extension or perineural spread.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
6 x 5 mm area of signal abnormality in the left apex is suspicious for prostate carcinoma. The larger focus of signal abnormality in the left base may represent central zone verses an additional focus of carcinoma.