68-year-old man with history of prostate cancer. PELVIS:PROSTATE:Prostate Size: 36 x 50 mm.Peripheral Zone: The peripheral zone is heterogeneous and striated in appearance with increased T1 signal, likely related to prior biopsy and slightly limiting evaluation.In the left posterior base of the prostate (series 401, image 95) there is an approximately 11 x 8 mm area of T2 hypointensity and decreased ADC which appears to cross the midline into the right lobe. Additionally, this area of signal abnormality abuts the left seminal vesicle with questionable involvement.A linear focus of decreased ADC and T2 hypointensity is seen in the right paramidline apex (series 41, image 65).An area of decreased ADC signal seen in the left apex, however there is no T2 correlate for this region (series 503, image 224).Central Gland: The central gland is heterogeneous in appearance and enlarged with impression on the midline posterior bladder wall.Seminal Vesicles: The seminal vesicles appear normal.Extracapsular Extension: There is no definite evidence of extracapsular extension.BLADDER: The bladder appears normal.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Area of signal abnormality in the left base of the prostate suspicious for carcinoma abutting and possibly invading the left seminal vesicle.2.Questionable, smaller areas of signal abnormality in the left and right apex as above.