History of prostate cancer.Additional history per electronic medical record:Marc Copland is a 67 Yr old male with prostate cancer treated with focal laser ablation June 2013 for Gleason 3+3=6 prostate cancer and a PSA between 6-7. His last PSA was 7.37 ng/ml from June 2014. His PSA was 8.37 ng/mL in October 2014. His PSA was 10.2 in June 2015. His PSA was 7.9 in August 2015. His PSA was 9.9 ng/mL in February 2016. His most recent prostate biopsy from June 2014 did not reveal evidence of disease. PELVIS:PROSTATE:Prostate Size: 5.0 x 6.3 x 6.0 c.m.Peripheral Zone: Post-ablation changes in the left apex and mid gland. Scattered areas of heterogeneously decreased T2 signal within the peripheral zone not significantly changed and without focal discrete lesions identified.Central Gland: Nodules compatible with BPH.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: Not applicable.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Post-ablation changes at the left apex and mid gland, without residual or new tumor evident.