Intermediate risk prostate cancer bilaterally. Biopsy dated 12/22/2015 demonstrated multifocal 3+3, 3+4 and 4+3 disease. PELVIS:PROSTATE:Prostate Size: 3.1 x 4.6 x 4.2 cmPeripheral Zone: Patchy areas of T1 weighted hyperintensity predominantly in the lateral peripheral zone, likely reflecting blood product, severely limits evaluation.In the medial aspect of the peripheral zone there is a 2.9 x 1.1 cm region of low T2-weighted signal intensity and restricted diffusion (series 801/12). Additional multiple smaller foci of T2-weighted hypointensity.Central Gland: Mild changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The dominant posterior paramedial peripheral zone lesion obscures and bulges the prostatic margin suspicious for extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
The study is significantly limited by patchy hemorrhage in the peripheral zone. Multifocal disease with suspected dominant posterior paramedial lesion with suspected extraprostatic extension.