69 years, Male, Reason: prostate cancer History: prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.8 x 2.8 x 3.8 cmPeripheral Zone: There is a large lesion in the in the left peripheral zone, extending from the base to apex which is dark on T2/ADC with early hyperenhancement and extension through the left lateral capsule. Smaller punctate foci of low ADC/T2 signal in the right peripheral zone, mid gland, are also suspicious for adenocarcinoma.Central Gland: Heterogeneous well circumscribed lesions likely represent benign prosthetic hypertrophy.Seminal Vesicles: No definite involvement.Extracapsular Extension: Extension through the left lateral capsule.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large left peripheral zone lesion with extracapsular extension likely corresponds to patient's known prostatic adenocarcinoma. Smaller punctate foci of low signal on the right also are suspicious for adenocarcinoma.2.No lymphadenopathy.