58-year-old male with history of prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.1 x 5 x 4.7 cm.Peripheral Zone: Large posterior lesion with low T2 signal, restricted diffusion, and increased enhancement extending from the base bilaterally to the right mid to apical prostate gland, compatible with prostate cancer and measuring up to 3.5 x 2.5 cm (series 403/404). Central Gland: Heterogeneous. There is invasion of the prostate cancer into the central gland.Seminal Vesicles: There is invasion of the prostate cancer into the bilateral seminal glands.Extracapsular Extension: There is mild extracapsular extension of the prostate cancer, e.g., inferiorly right aspect. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes of the pubic symphysis with a small amount of joint fluid seen.OTHER: No significant abnormality noted.
Large prostate cancer with extracapsular extension and seminal vesicle invasion.