55-year-old male with history of prostate cancer. Evaluate for extent of disease. Biopsy 7/16/15. Gleason 3 +4 = 7.PSA history per EMR:January 2013 - 4.3 ng/ml. May 2013 - 5.0 ng/ml April 2015 - 5.9 ng/ml PELVIS:PROSTATE:Prostate Size: 4.3 x 3.7 cm.Peripheral Zone: There are bilateral multifocal ill-defined lesions demonstrating decreased T2/ADC signal abnormality suggestive of patient's known prostatic adenocarcinoma. No definite focal abnormal enhancement. Tumor volume appears larger on the left with largest focus in the left apex. There is no evidence of extracapsular invasion or extension into the seminal vesicles.Central Gland: Numerous well-defined nodular lesions without suspicious characteristics.Seminal Vesicles: No evidence of seminal vesicle invasion of known peripheral zone lesions.Extracapsular Extension: No evidence of extracapsular extension of known peripheral zone lesions.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy.BONES, SOFT TISSUES: No suspicious focal osseous lesions.OTHER: No significant abnormality noted.
Findings compatible with known multifocal bilateral prostatic adenocarcinoma without evidence of extracapsular invasion, lymph node metastases, or suspicious bone lesions.