53-year-old man with new diagnosis of prostate cancer. Additional history as per chart: PSA of 7 in August 2016, right-sided prostate biopsy revealing Gleason 3+4 disease. PELVIS:PROSTATE:Prostate Size: 52 x 38 mm.Peripheral Zone: Within the medial right base (401/16) there is a 9 x 5 mm area of decreased T2 signal. There is questionable diffusion abnormality corresponding to this area and there is no early enhancement seen on perfusion series. A small focus of T1 hyperintensity/hemorrhage is seen lateral to this region.The remainder of the peripheral zone appears heterogeneous without discrete focus of signal abnormality. Central Gland: Heterogeneous in appearance with BPH nodules.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: The right medial base lesion abuts the capsule, however there does not appear to be extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Signal abnormality in the right medial prostatic base which likely corresponds to focus of adenocarcinoma.