67-year-old male with history of prostate cancer. PELVIS:PROSTATE:Prostate Size: The prostate measures 5.3 x 2.9 x 6.0 cm.Peripheral Zone: Right peripheral apical T2 hypointense lesion with associated decreased ADC measuring 11 x 8 mm. No appreciable enhancement.There is an additional similar-appearing focus in the left mid gland measuring 6 x 5 mm. No appreciable enhancement.Mild bilateral peripheral increased T1 signal compatible with hemorrhage.Central Gland: BPHSeminal Vesicles: No significant abnormality noted.Extracapsular Extension: No definite extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Highly suspicious peripheral lesion in the right apex without definite extracapsular extension.2. Smaller lesion in the left mid gland also suspicious for multifocal disease.3. Scattered areas of hemorrhage.