History of recently diagnosed Gleason 8 prostate cancer. PELVIS:PROSTATE:Prostate Size: 6.7 x 5.8 x 7.3 cm.Peripheral Zone: There is a large, exophytic mass arising from the right base and mid gland which demonstrates decreased T2 and ADC signal which is compatible with neoplasm.Central Gland: Hyperplastic nodules compatible with prostatic hypertrophy.Seminal Vesicles: There is abnormal signal within the right seminal vesicle adjacent to the aforementioned right peripheral zone mass compatible with seminal vesicle invasion.Extracapsular Extension: There is extensive extracapsular extension associated with the large right peripheral zone exophytic mass including involvement of the right neurovascular bundle. The aforementioned lesion also abuts the rectal wall.BLADDER: No significant abnormality noted.LYMPH NODES: There are are a few subcentimeter perirectal and internal iliac lymph nodes which are nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.INDEX LESION MEASUREMENTS (Current exam date/time: 12/2/2016 10:15:00)RIGHT PERIPHERAL ZONE LESION: 4.1 x 2.6 cm (Image 61, Series 501); 3.9 cm (Image 72, Series 503).
Large, exophytic mass arising from the right peripheral zone compatible with neoplasm with associated extracapsular extension, invasion of the right seminal vesicle, invasion of the right neurovascular bundle, abutment of the rectal wall, and possible pelvic lymph node involvement.