Reason: staging History: new prostate cancer GG 4+3=7From Epic: A prostate biopsy was performed and revealed a Gleason 3+4 =7. The positive findings left anterior apex 15% and left anterior base 5% of submitted tissue. Two previous prostate biopsies were performed in 2014 and 2015 and were benign PELVIS:PROSTATE:Prostate Size: 4.2 x 3.5 x 3.4 cmPeripheral Zone: There is a lesion in the peripheral zone at the left base which is ill-defined but exhibits low signal intensity on T2/ADC images measuring approximately 2.0 x 1.4 cm (501/7), suspicious for prostatic adenocarcinoma. Other smaller foci of increased T2 signal are indeterminant. Hemorrhage is present in the right mid gland peripheral zone.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Lesion in the left base peripheral zone suspicious for prostatic adenocarcinoma. No evidence of seminal vesicle invasion or extracapsular extension.2.No pelvic lymphadenopathy.