70-year-old male with history of prostate cancer.Additional history obtained from EPIC: Recently noted to have an elevated PSA of 5.8 ng/ml. This prompted a TRUS guided biopsy of the prostate revealing adenocarcinoma Gleason 3+3=6 involving three cores from the right side of the prostate, 2 with 10% involvement of the total core length and 1 core with 20% involvement. There was also one core from the left with Gleason 3+3=6 with 25% involvement. PELVIS:PROSTATE:Prostate Size: 5.6 x 3.0 x 5.0 cm.Peripheral Zone: Lesion in the left mid peripheral zone measuring 0.6 x 0.6 cm (704/284) which is dark T2/ADC and demonstrates early enhancement is suspicious for prostate cancer. Smaller lesion within the right apical peripheral zone is dark on T2/ADC with questionable early enhancement may represent an additional foci of prostate cancer.Central Gland: Multiple BPH nodules. Seminal Vesicles: No significant abnormality.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left mid peripheral zone lesion is suspicious for prostate cancer. No evidence of extracapsular extension.2.Questionable lesion in the right apical peripheral zone may represent an additional foci of cancer.3.No pelvic lymphadenopathy.