Male 54 years old Reason: staging exam History: prostate cancer PELVIS:PROSTATE:Prostate Size: The prostate measures 5.0 x 3.4 x 4.5 cm.Peripheral Zone: The peripheral zone is amorphously heterogeneous. Dominant focus of T2 signal abnormality in the paracentral left peripheral zone in the midgland and base. This is dark on the ADC map. This measures 1.5 x 0.7 cm. Additional smaller foci are identified for example in the right peripheral zone at the base (series 801, image 17).Central Gland: Enlarged and heterogeneous.Seminal Vesicles: No seminal vesical invasion.Extracapsular Extension: While the above described dominant lesion abuts the prostatic capsule there is no definite extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific subcentimeter left external iliac lymph node.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant focus of signal abnormality in the left paracentral peripheral zone of the mid gland and base. This is suspicious for a focus of prostatic adenocarcinoma. There is no extracapsular extension or seminal vesicle invasion.