Prostate cancer. Please evaluate for high risk features PELVIS:PROSTATE:Prostate Size: 2.8 x 3.7 x 3.3 cmPeripheral Zone: In the right apex gland peripheral zone there is a 9 x 12 mm lesion demonstrating T2 weighted hypointensity (series 1001, 90) with associated restricted diffusion (ADC image 244, series 704). Otherwise the peripheral zone is atrophic and diffusely heterogeneous in T2-weighted signal intensity without a dominant lesion on ADC or T2-weighted imaging.Central Gland: No suspicious abnormality noted.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The right gland dominant lesion has a broad base of abutment with the prostatic margin with mild bulging but no frank extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Small nonspecific external iliac lymph nodes are noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Highly suspicious right apex peripheral zone lesion measuring 9 x 12 mm with restricted diffusion.2. Nonspecific small external iliac lymph nodes.