61-year-old male with history of prostate cancer. Gleason 6 right base medial. Gleason 6 left base medial. PELVIS:PROSTATE:Prostate Size: 4.7 x 5.6 x 3.5 cm.Peripheral Zone: Interval increase in size of a left mid gland paracentral peripheral zone T2 hypointense focus now measuring 8 x 5 mm (series 608, image 404), previously 6 x 4 mm when using similar measurement technique. Background T2 hypointense striated appearance noted. There are additional rounded T2 hypointensities (to a lesser degree compared to the prior lesion) in bilateral mid gland peripheral zones with corresponding mild low signal on ADC map not significantly changed when compared to the prior exam.Central Gland: Severe degree benign prostatic hypertrophySeminal Vesicles: No significant abnormality noted.Extracapsular Extension: No extracapsular extension is evident.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: There is a 17 x 13 mm enhancing focus in the left femoral neck that is nonspecific and unchanged since the prior exam.OTHER: Colonic diverticulosis without evidence of diverticulitis.
1.Suspicious focus in the left mid gland peripheral zone has increased in size since the prior exam.2.No significant change in additional rounded T2 hypointensities with corresponding low signal on ADC map in bilateral mid gland peripheral zones.