History of prostate cancer with known tumor in the right mid gland and apex (Gleason 8). Evaluate for additional extent of disease. PELVIS:PROSTATE:Prostate Size: 5.2 x 5.3 x 3.5 cmPeripheral Zone: Within the medial aspect of the right peripheral zone mid gland and apex there is confluent low T2 signal which has restricted diffusion and early arterial enhancement compatible with tumor. This measures 16 x 6 mm (series 901 image 11). There is a small adjacent focus of increased T1 signal presumably reflecting hemorrhage from prior biopsy. Abnormal signal extends minimally across midline into the left peripheral zone.Within the right base there is an additional area of more mild mildly decreased T2 signal measures 10 x 8 mm (series 901 image 18). This has questionable restricted diffusion and early arterial enhancement (series 1501 image 2329). It is unclear if this represents a benign nodule or possible additional tumor.Central Gland: Extensive nodular hypertrophy compatible with a pH.Seminal Vesicles: No evidence of tumor involvement.Extracapsular Extension: There is mild thickening of the posterior capsule adjacent to the right apical tumor concerning for capsular invasion (series 901 image 12). BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with tumor in the medial right peripheral zone mid gland and apex correlating with the patient's positive biopsy results.2.Additional focus of possible tumor in the right base as described.3.Questionable thickening/irregularity of the posterior capsule in the right mid gland/apex concerning for tumoral invasion. 