Malignant neoplasm of the prostate. PELVIS:PROSTATE:Prostate Size: 4.8 x 6.3 x 4.9 cmPeripheral Zone: There is a focus of signal abnormality in the peripheral aspect of the base of the left peripheral zone (series 801, image 15) measuring 5 x 8 mm which demonstrates decreased T2 signal and decreased ADC signal. There is an additional focus of signal abnormality in the base of the right peripheral zone (series 801, image 16) measuring 2 x 3 mm which demonstrates decreased T2 signal and decreased ADC signal. There is an additional focus of signal abnormality in the left mid gland peripheral zone (series 801, image 10) measuring 4 x 4 mm which demonstrates decreased T2 signal and decreased ADC signal. These lesions are suspicious for prostate cancer.Central Gland: There is marked benign prostatic hypertrophy. The median lobe impresses upon the bladder.Seminal Vesicles: No significant abnormalities.Extracapsular Extension: No definite extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Small retroperitoneal lymph nodes are not pathologically enlarged by size criteria.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Three subcentimeter foci of abnormal signal within the peripheral zone with imaging characteristics (low ADC and T2 hypointense signal) suspicious for prostate carcinoma.