Reason: Elevated PSA, evaluate for prostate cancer History: see aboveBiopsy 9/17/2015: Right base, right mid, right apex, left base, left mid, left apex positive for Gleason 6 adenocarcinoma PELVIS:PROSTATE:Prostate Size: 5.2 x 3.2 x 4.7 cmPeripheral Zone: Multiple lesions throughout the prostate are suspicious for prostatic adenocarcinoma. A lesion in the apex, immediately right of midline measures 0.5 x 0.3 cm (701/12). Bilateral lesions in the mid gland peripheral zone measure 1.0 x 0.8 cm and 1.0 x 0.7 cm (701/15). A lesion in the left base measures 0.5 x 0.8 cm (701/19). There is an ill-defined lesion in the right base with possible invasion into the seminal vesicles.Central Gland: There is a large lesion in the anterior transitional zone of the right apex measuring 1.8 x 1.8 cm which is T2/ADC hypointense and hyperintense on DWI, suspicious for tumor. Seminal Vesicles: Ill-defined T2/ADC hypointense lesion in the right base with possible seminal vesicle invasion.Extracapsular Extension: Equivocal extracapsular extension of right apical lesion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multifocal lesions lesions throughout the prostate with a large anterior apical lesion, suspicious for prostatic adenocarcinoma. There is possible seminal vesicle involvement at right base.2.No pelvic lymphadenopathy.