Prostate cancer. PSA 7.0. Outside biopsy right base adenocarcinoma (Gleason 6). PELVIS:PROSTATE:Prostate Size: The prostate measures 4.4 x 3.9 cm.Peripheral Zone: There is an enhancing T2 hypointense subcentimeter lesion within the right mid peripheral zone that restricts diffusion, measuring 0.7 x 0.5 cm (series 1801, image 95), suspicious for carcinoma.Central Gland: The transition zone is nodular in appearance, compatible with benign prostatic hyperplasia.Seminal Vesicles: The seminal vesicles are normal in appearance.Extracapsular Extension: NoneBLADDER: No significant abnormality noted.LYMPH NODES: Mildly enlarged nonspecific bilateral external iliac lymph nodes. Representative right external iliac lymph and measures 1.6 x 1.0 cm (series 2101, image 87). BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Subcentimeter lesion within the right mid gland peripheral zone, suspicious for malignancy. No evidence of seminal vesicle invasion or extracapsular extension.