Male 71 years old Reason: history of prostate cancer, interested in active surveillance, prostate biopsy to follow History: see above PELVIS:PROSTATE:Prostate Size: The prostate gland measures 5.1 x 3.5 x 3.6 cm.Peripheral Zone: Multiple foci of T2 hypointense signal identified within the peripheral zone. The largest which demonstrates early arterial enhancement is in the right peripheral zone of the mid gland/base and measures approximately and 1.0 x 0.8 cm (series 904, image 264). An adjacent additional focus of signal abnormality is identified in the midgland posteriorly in the midline. This measures 1.0 x 1.0 cm (series 904, image 264). These are dark on ADC map. Additional smaller subcentimeter foci are also identified for example, series 904 image 304.Central Gland: Enlarged and heterogeneousSeminal Vesicles: No significant abnormality notedExtracapsular Extension: The dominant lesion in the right peripheral zone abuts the overlying prostatic capsule. It is difficult to visualize on axial T2 weighted images however no definite extracapsular extension is identified.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific mildly prominent inguinal lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Focal areas of signal abnormality in the peripheral zone. The dominant focus is in the right mid gland/base and measures approximately 1.0 cm in maximum dimension. These are suspicious for foci of prostatic adenocarcinoma.