Male 58 years old with prostate cancer scheduled for surgery. Evaluate for nerve sparing approach and extraprostatic disease. Biopsy showed adenocarcinoma in the right medial base, right mid medial and lateral, right apex medial and lateral, left mid medial and lateral and left apex medial and lateral. PELVIS:PROSTATE:Prostate Size: 4.7 x 2.5 x 3.9 cmPeripheral Zone: There are multiple small foci of hypointensity on T2 and ADC images. A 3 mm focus in the right mid gland and a 4 mm focus in the left mid gland (series 801, image 20) also demonstrate early contrast enhancement suspicious for adenocarcinoma.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Bone marrow signal intensity is within normal limits for the patient's age.OTHER: Note is made of a utricle cyst.
Small foci of signal abnormality suspicious for prostate adenocarcinoma particularly in the right and left mid gland. No evidence of extracapsular extension or pelvic lymphadenopathy. 