56-year-old male patient with prostate cancer with pathology demonstrating tumor in the right and left gland. PELVIS:PROSTATE:Prostate Size: 4.5 x 4.1 x 4.0 cm.Peripheral Zone: There are multifocal areas of T2 hypointensity and ADC hypointensity extending from the apex to the base of the peripheral zone. For example, a region of signal abnormality compatible with carcinoma in the left mid gland measures 1 x 0.3 cm (image 13, series 901). Additionally, the peripheral zone is not well seen in the base which is likely replaced by tumor with possible extension into the extraprostatic tissue and seminal vesicles particularly on the left. Central Gland: There is hyperplasia of the transitional zone secondary to BPH nodules. Seminal Vesicles: See above.Extracapsular Extension: See above.BLADDER: No significant abnormality noted.LYMPH NODES: There are non-specific inguinal lymph nodes. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Fat-containing umbilical hernia and fat-containing bilateral inguinal hernias.
Multifocal areas of signal abnormality in the right and left gland compatible with tumor with possible extraprostatic extension of tumor in the region of the base which may be diffusely involved with tumor, further described above.