60-year-old man with history of prostate cancer PELVIS:PROSTATE:Prostate Size: 64 x 58 mmPeripheral Zone: The peripheral zone is markedly thickened. In the peripheral zone of the right apex (series 8, image 11) there is a very small, approximately 5 x 2 mm focus of decreased T2 signal and diffusion restriction without extracapsular extension. Enhancement of this focus is difficult to evaluate given its size.Central Gland: The central gland is markedly hypertrophic and nodular.Seminal Vesicles: The seminal vesicles appear normal.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: There is mass effect from the adjacent enlarged central gland, otherwise the bladder appears normal.LYMPH NODES: No significant lymphadenopathy identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Very small focus of signal abnormality in the peripheral right apex of the prostate suspicious for a small focus of adenocarcinoma.