71-year-old male. Prostate cancer. PELVIS:PROSTATE:Prostate Size: 5.6 x 6.3 x 4.2 cm.Peripheral Zone: In the right base, the T2 hypointense 10 x 7 mm lesion demonstrating diffusion restriction is unchanged, consistent with prostate cancer. Two foci of marked ADC hypointensity in the transitional zone (series 1004, image 204), unchanged and remain suspicious for prostate cancer. Central Gland: Hypertrophied central zone consistent with BPH.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Right prostate base lesion consistent with prostate carcinoma, unchanged. 2. Two foci of restricted diffusion in the transitional zone, unchanged and remain suspicious for prostate cancer. These are amenable to MRI guided biopsy if clinically warranted.