70-year-old male with prostate cancer. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.5 cm in transverse, 2.7 cm in AP, and 3.8 cm in craniocaudal diameter.Peripheral Zone: Small volume of peripheral zone. Extensive hazy T2 hypointense signal throughout the peripheral zone could represent prostatitis, and this limits evaluation for a discrete lesion.Central Gland: Nodular changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No suspicious focus is identified. Hazy T2 hypointense signal throughout the peripheral zone could represent prostatitis, and this limits evaluation for a discrete lesion.PI-RADS™ v2 Assessment Categories:PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 – Low (clinically significant cancer is unlikely to be present)PIRADS 3 – Intermediate (the presence of clinically significant cancer is equivocal)PIRADS 4 – High (clinically significant cancer is likely to be present) PIRADS 5 – Very high (clinically significant cancer is highly likely to be present)https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/PIRADS/PIRADS%20V2.pdf