61-year-old male with Gleason 6 prostate cancer on prior core biopsy (left mid lateral) on active surveillance PELVIS:PROSTATE:Prostate Size: 5.3 x 3.1 x 4.0 cm.Peripheral Zone: Heterogeneous T1 hyperintensity and T2 hypointensity throughout the peripheral gland compatible with hemorrhage, possibly from recent biopsy. There is a 14 x 9 mm T2 hypointense lesion in the right midgland peripheral zone with corresponding restricted diffusion. Central Gland: Moderate to severe degree benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: The aforementioned lesion abuts but does not demonstrate extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Limited examination due to heterogenous T1 hyperintensity and T2 hypointensity throughout the peripheral zones of prostate gland compatible with hemorrhage, possibly from recent biopsy. 2.Within above limitations, suspicious T2 hypointense lesion in the right midgland peripheral zone with corresponding restricted diffusion.