57-year-old man with history of rising PSA. PELVIS:PROSTATE:Prostate Size: 63 x 43 mm.Peripheral Zone: There is a 17 x 6 mm area of T2 hypointensity and ADC abnormality (401/55 and 508/164) in the left mid gland. Additionally, in the left apex (401/46) there is a 5 x 5 mm area of T2 hypointensity and markedly ADC abnormality.Central Gland: There is a marked enlargement of the transitional zone with nodules and cystic foci impressing upon the bladder base.Seminal Vesicles: Seminal vesicles are unremarkable.Extracapsular Extension: No evidence of extracapsular tumor extension.BLADDER: No significant abnormality noted.LYMPH NODES: There is a left obturator node (401/94) measuring 4 mm.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Signal abnormality in the left mid gland and left apex peripheral zone suspicious for tumor.2.Left obturator lymph nodes which are nonspecific but could represent nodal metastasis.