Reason: 58 yo male w hx of prostate cancer scheduled for RALP, evaluate for nerve sparing. Patient with prostate adenocarcinoma of the left apex (Gleason 3+4), right mid gland (the Gleason 3+4), right apex (Gleason 3+4). PELVIS:PROSTATE:Prostate Size: The prostate measures 3.2 cm in transverse, 2.3 cm in AP, and 2.9 cm in craniocaudal diameter.Peripheral Zone: Diffuse hypointense T2 signal intensity.Central Gland: In the anterior-lateral right apex, there is a dominant lesion measuring 1.1 x 0.5 cm with T2 and ADC hypointense signal intensity (axial series 901 image 16, axial series 503 image 284). The tumor abuts the capsule for approximately 11 mm, however no obvious extracapsular extension is identified.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: As above.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dominant lesion in the anterior-lateral transitional zone abutting the capsule and without obvious extracapsular extension.