Prostate cancer. On active surveillance. Gleason 3+4. RLA disease. PELVIS:PROSTATE:Prostate Size: 3.1 x 5.3 x 4.6 cmPeripheral Zone: Within the right mid gland there is a 3 mm T2 weighted hypointense focus with restricted diffusion (series 901/11 and series 704/164), suspicious for prostate cancer.Within the right apex there is 3 mm T2 weighted hypointense focus with restricted diffusion (series 901/7 and series 704/84), suspicious for prostate cancer.Central Gland: Near the prostate apex in the region of the transition zone there is a 2.3 x 1.7 focus which T2-weighted hypointensity and demonstrates restricted diffusion (series 704/104 and series 901/8). Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Low volume disease with 3 mm right mid gland peripheral zone and 3 mm right apex peripheral zone foci, suspicious for carcinoma.2. 2.2 x 1.7 cm focus of T2-weighted hyperintensity and restricted diffusion in the anterior apex which may represent the transition zone and less likely cancer.