PSA of 4.12 ng/ml, clinical stage T1c, and recent biopsy showing 4mm of Gleason 6 at right mid, along with 5 mm of Gleason 4+3 and 5 mm of Gleason 4+5 at left apex. PELVIS:PROSTATE:Prostate Size: 3.2 x 4.7 x 4.2 cmPeripheral Zone: There is a diffuse T1 weighted signal hyperintensity throughout the mid gland and base of the prostate likely relating hemorrhage from recent biopsy. In the left apex there is a 1.1 x 0.8 cm lesion (series 1104/124) demonstrating restricted diffusion suspicious for a site of prostatic adenocarcinoma. Central Gland: Benign prostatic hyperplasiaSeminal Vesicles: No evidence of tumor extending into the seminal vesicles.Extracapsular Extension: No evidence of extracapsular extension or tumor extending along the neurovascular bundles.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left apex 1.1 x 0.8 cm lesion is suspicious for a site of prostatic adenocarcinoma without extracapsular extension or seminal vesicle invasion. No pelvic lymphadenopathy is identified. Extensive post-biopsy hemorrhage of the peripheral zone limits evaluation for additional sites of disease.