51-year-old male with prostate cancer. Evaluate for extraprostatic disease. PELVIS: Suboptimal examination due to nondiagnostic diffusion-weighted imaging sequences, secondary to extensive artifact.PROSTATE:Prostate Size: 2.5 x 4.7 x 4.3 cm (AP by TR by CC)Peripheral Zone: There is a focus of decreased T2 signal abnormality in the left posterior lateral base of the peripheral zone of the prostate gland, which abuts the left seminal vesicle, measuring 11 x 10 mm. There is associated abnormal enhancement of this area on dynamic contrast-enhanced sequences.Seminal Vesicles: Possible invasion of the left seminal vesicle.Extracapsular Extension: There is a focus of T2 signal abnormality in the left posterolateral base of the peripheral zone of the prostate gland abutting the left seminal vesicle suspicious for invasion of the left seminal vesicle. BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of lymphadenopathy.BONES, SOFT TISSUES: No bone marrow signal abnormality is identified.OTHER: No significant abnormality noted.
Suboptimal examination, however, there is a focus of decreased signal abnormality and abnormal enhancement in the left posterolateral base of the peripheral zone of the prostate gland with findings suspicious for invasion of the left seminal vesicle, as detailed above.