54-year-old male with prostate cancer, low-grade, underactive surveillance PELVIS:PROSTATE:Prostate Size: 4.9 x 4.0 x 2.9 cmPeripheral Zone: Large lesion in the left mid gland peripheral zone extending towards apex restricted diffusion and minimal arterial enhancement. T2 hypointense lesion in the right mid gland peripheral zone with extension towards apex restricts diffusion. There is an additional small third T2 hypointense lesion in the right apex.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: The left mid gland peripheral zone lesion abuts the capsule with indistinctness of portions of the capsule raising suspicion for extracapsular extension. The right mid gland peripheral zone lesion abuts the capsule without extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Colonic diverticulosis without evidence of diverticulitis.
Findings of multifocal disease as described above centered in the mid gland left peripheral zone, mid gland right peripheral zone and small right apical lesion.