68-year-old male with history of prostate cancer. Pathology from 4/23/2015 showed high-grade prostatic intraepithelial neoplasia in the right apex medial, left mid medial, left mid lateral, and left apex lateral. Prostatic adenocarcinoma, Gleason score 6 (3+3), 5 mm from left apex medial. PSA was 1.88 on 4/22/2015. Patient is status post MRI prostate laser ablation of the right apex peripheral zone on 4/9/2014. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.4 cm in transverse, 2.6 cm in AP, and 3.5 cm in critical length.Peripheral Zone: Slight interval increase in size of the known T2 and ADC hypointense lesion of the right mid gland measuring 6 x 7 mm (axial series 2208 image 244, axial series 601 image 59) (prior 5 x 3 mm). The additional T2 and ADC hypointense focus of the left apex measuring 5 x 4 mm is similar in size and appearance (axial series 601 image 45, axial 2208 image 164).Central Gland: The T2 hypointense focus of the midline central gland (axial series 601 image 50) does not show and ADC correlate and is felt to represent anterior hypervascular stroma. Nodular changes of BPH are again seen.Seminal Vesicles: No significant abnormality.Extracapsular Extension: Not present.BLADDER: Left anterior urinary bladder wall diverticulum extending into a left inguinal hernia (coronal series 602 image 10).LYMPH NODES: Stable small external iliac lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Slight interval increased size of a right mid gland suspicious lesion.2.Stable small left apex suspicious lesion.