76 years, Male, Reason: prostate cancer, please evaluate the prostate and regional nodes History: prostate cancer. Biopsy 1/7/2015: Left base cancer. Right lateral base to apex cancer. Gleason 7. PELVIS:PROSTATE:Prostate Size: 5.3 x 3.9 x 4.3 cm.Peripheral Zone: There is a lesion in the right peripheral zone measuring approximately 1.1 x 0.9 cm (703/444) extending from the right base to mid prostate which is low signal on ADC/T2 with early enhancement, suspicious for prosthetic adenocarcinoma.Additional foci of intrinsic T1 shortening likely represents hemorrhage from prior biopsy.Central Gland: Scattered well-defined nodules suggest benign prosthetic hypertrophy.Seminal Vesicles: No involvementExtracapsular Extension: Lesion abuts the right aspect of the lateral capsule without definite extensionBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bilateral fat containing inguinal hernias.
1.Lesion extending from the right base to mid gland with signal characteristics suspicious for prostatic adenocarcinoma.2.No lymphadenopathy.