Reason: 59M with Gleason 6 PrCA in right apex, MRI fusion biospy to confirm diagnosis for active surveillance History: as above PELVIS:PROSTATE:Prostate Size: 4.7 x 6.6 x 5.9 cmPeripheral Zone: In the right posterior apical and mid peripheral zone, there is T2 hypointense ill-defined signal with restricted diffusion suspicious for tumor (series 901 image 11). More focal area measures approximately 6 x 7 mm (series 901 image 15).In the left posterior mid peripheral zone, there is focal T2 hypointense signal with restricted diffusion also suspicious for tumor, measuring 5 x 5 mm (series 901 image 16).There is large apical T2 transitional zone hypointense ill-defined signal with restricted diffusion also suspicious for tumor, measuring 17 x 14 mm (series 901 image 7).Central Gland: Multiple probable hyperplastic nodules. Seminal Vesicles: No significant abnormality noted. No evidence of invasion.Extracapsular Extension: There is bulging of the capsule and the right posterior mid prostate secondary to tumor (series 901 image 11), without evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted. No osseous lesions are identified.OTHER: No significant abnormality noted.
Multifocal bilateral suspicious lesions involving the peripheral and transitional zones as described above.