67-year-old male with prostate cancer. PELVIS:PROSTATE: Suboptimal examination secondary to wrap around artifact on post contrast images. Prostate Size: 4.6 x 2.6 x 4.1 cm (TR X AP X CC)Peripheral Zone: There is extensive decreased T2 signal abnormality in the base, mid body, and apex of the peripheral zone of the prostate gland, right greater than left. There is associated restricted diffusion and enhancement on the postcontrast sequences. These findings are suspicious for prostate carcinoma.Seminal Vesicles: There is extension to involve the seminal vesicles bilaterally.Extracapsular Extension: There is apparent extracapsular extension along the left lateral margin of the midbody and apex of the peripheral zone of the prostate gland.BLADDER: No significant abnormality noted.LYMPH NODES: Small pelvic lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings consistent with prostate carcinoma involving the base, mid body and apex of the peripheral zone of the prostate. There is apparent seminal vesicle invasion and extracapsular extension, as detailed above. 