History of prostate cancer. 5/10/2015 biopsy showed 3+3 left lateral base disease. PELVIS:PROSTATE:Prostate Size: 4.3 x 5.6 x 5.9 cmPeripheral Zone: In the left mid gland there is a 8 x 8 mm focus of restricted diffusion (series 500/284) with associated T2-weighted hypointensity (series 1 601/13) and early arterial enhancement (series 1 701/1 853) suspicious for prostatic adenocarcinoma.In the left base there is a 1.1 x 0.9 cm focus of T2-weighted hyperintensity (series 1 601/19) and restricted diffusion (series 504/384) which may represent an additional site of prostatic adenocarcinoma versus asymmetric central zone.Central Gland: In the apex anteriorly there is a 1.7 x 1.0 cm focus of restricted diffusion (series 504/204 with subtle ill-defined decreased T2 weighted hypointensity. Benign prostatic hyperplasia. Median lobe hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. 8 x 8 mm focus in the left mid gland is suspicious for prostatic adenocarcinoma and is amenable to MRI/ultrasound fusion biopsy. 2. Additional 1.1 cm focus in the left base and 1.7 cm anterior apex focus may represent additional sites of prostatic adenocarcinoma and are amenable to MRI/ultrasound fusion sampling.3. No evidence of seminal vesicle invasion, extraprostatic extension or pelvic lymphadenopathy.