63-year-old male patient with elevated PSA. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.6 x 3.3 x 3.3 cm (transverse by AP by craniocaudal).Peripheral Zone: There is a region of signal abnormality within the right mid/right base of the peripheral zone which demonstrates T2 hypointensity. Within this region of T2 signal abnormality, there is a more focal 9 x 9 mm region of corresponding ADC hypointensity and early enhancement suspicious for carcinoma (image 136, series 806). The overlying capsule is indistinct compatible with extraprostatic extension.There is another region of T2 and ADC signal hypointensity with equivocal early enhancement within the left mid gland of the peripheral zone measuring 12 x 11 mm (image 14, series 401), which is suspicious for carcinoma.Central Gland: The is unremarkable.Seminal Vesicles: No definite involvement.Extracapsular Extension: As described above. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Outside exam read:1. Two regions of signal abnormality within the right mid/base and left mid gland of the peripheral zone suspicious for tumor. 2. Extraprostatic extension of tumor on the right.