61-year-old man with history of Gleason 6 prostate cancer under active surveillance. Pathology results within the left base and left apex with adenocarcinoma. PELVIS:PROSTATE:Prostate Size: Prostate measures 49 x 37 mm.Peripheral Zone: Multiple areas of abnormal signal are identified:In the lateral left base (301/44) there is a 9 x 5 mm area of T2 hypointense signal with corresponding ADC abnormality.Additionally, in the right lateral base (301/41) there is a 14 x 9 mm area of T2 hypointense signal with corresponding ADC abnormality.In the medial left mid gland (301/42) there is a 5 x 4 mm area of hypointense T2 signal and questionable ADC abnormality.Other tiny T2 hypointense foci also seen.Central Gland: Nodular without additional significant abnormality.Seminal Vesicles: The seminal vesicles appear normal without tumor involvement.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Foci of signal abnormality in the left lateral prostate base and right lateral prostate base suspicious for adenocarcinoma.2.Questionable focus in the medial left mid gland which may represent an additional site of disease.