History of prostate cancer. Multifocal prostatic adenocarcinoma. PELVIS: Please note that this study did not extend to the aortic bifurcation.PROSTATE:Prostate Size: 3.6 x 4.2 x 4.0 cmPeripheral Zone: Multiple small foci of T2 weighted hypointensity and restricted diffusion in the left greater than right peripheral zone compatible with multifocal prostatic adenocarcinoma.Central Gland: Benign prostatic hyperplasia. There is a dominant well-defined focus of T2 hypointensity and restricted diffusion measuring 1.2 x 0.9 cm in the mid gland left transition zone (series 1204/284) demonstrating postcontrast enhancement and washout.Seminal Vesicles: No specific evidence of seminal vesicle invasion.Extracapsular Extension: No significant evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific prominent bilateral external iliac and inguinal lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal prostatic adenocarcinoma involving the peripheral zone. Dominant 1.2 cm lesion within the left mid gland transitional zone is suspicious for prostatic adenocarcinoma.Nonspecific enlarged external iliac and inguinal lymph nodes.