61-year-old male with history of prostate cancer. Right base medial 4+3, right base lateral 4+3, right apex lateral 3+3. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.6 x 3.0 cm.Peripheral Zone: There is diffuse hemorrhage throughout the midgland peripheral zone, likely related to recent biopsy, which limits evaluation. There is focal hemorrhage in the right lateral base.There is a T2 hypointense focus with associated restricted diffusion in the left mid gland with surrounding hemorrhage measuring 4 x 4 mm. Additionally, in the right base there is a T2 hypointense lesion with associated restricted diffusion extending into the left base measuring 8 x 4 mm.Linear T2 signal extends from the peripheral zone into the neurovascular bundle, however given the morphology, this is not felt to represent tumor.Central Gland: BPH.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No evidence of 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.
Left mid gland and right/left base peripheral lesions are suspicious for adenocarcinoma. No evidence of extracapsular extension.