Male 49 years old Reason: prostate cancer History: prostate cancer PELVIS:PROSTATE:Prostate Size: 5.3 x 4.8 x 6.5 cmPeripheral Zone: There is a 0.6 x 0.4 cm T2 hypointense lesion within the left posterolateral prostate gland at the mid gland/apex which demonstrates arterial enhancement and is dark on the ADC map. This suspicious for a focus of prostatic carcinoma. There is a large area of hazy T2 hypointense signal within the anterior prostate gland at the apex. This area is difficult to evaluate as the transition zone extends beneath verumontanum in this patient. We suspect that this represents inferior transition zone however it is not possible to completely exclude anterior tumor.Central Gland: Enlarged and heterogeneous.Seminal Vesicles: No 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.Subcentimeter focus of signal abnormality within the left peripheral zone which is suspicious for a focus of prostatic carcinoma. There is no extracapsular extension.2.Signal abnormality within the anterior prostate at the apex is difficult to evaluate due to inferior extension of the transition zone. We suspect that this represents a combination of transition zone and anterior fibromuscular stroma however it is not possible to completely exclude anterior tumor.