History of prostate cancer. Evaluate for metastatic disease. Prior biopsy shows widespread right-sided disease. PELVIS:PROSTATE:Prostate Size: 4.5 x 4.5 x 3.1 cmPeripheral Zone: Within the right posterior peripheral zone mid gland there is a 11 x 8 mm nodular focus of low T2 signal, restricted diffusion, early arterial enhancement compatible with patient's biopsy-proven cancer. There is more mild signal abnormality extending from this lesion from the base to the apex which may represent additional lower grade tumor.In the left peripheral zone abutting the transitional zone is an additional 6 mm low T2 signal nodule is without definite early enhancement or restricted diffusion that is indeterminate.Central Gland: Mild nodular changes of benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality.Extracapsular Extension: There is extension of the low T2 signal through the posterior right capsule with asymmetry of the rectal prostatic angle indicating extracapsular extension. The signal abnormality does not extend to the neurovascular bundle.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with adenocarcinoma in the posterior right mid gland peripheral zone as described. There is evidence of extracapsular extension, but no metastatic disease.