History of prostate cancer. Interested in active surveillance. 6/29/2015 biopsy demonstrated 3+3 left base and 3+3 right apex adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 2.7 x 5.0 x 4.9 cmPeripheral Zone: 5 x 4 mm left medial mid gland lesion demonstrating T2 weighted hypointensity (series 901/20), associated restricted diffusion (series 704/384) but no abnormal enhancement.Punctate foci of T2 weighted hyperintensity in the right apex are too small to characterize.Central Gland: Changes of benign prostatic hyperplasia.Seminal Vesicles: No seminal vesicle invasion.Extracapsular Extension: No evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
5 mm left medial mid gland lesion may represent a site of prostatic adenocarcinoma and is amenable to MR/ultrasound fusion biopsy.