Reason: staging exam History: new prostate cancer PELVIS:PROSTATE:Prostate Size: 5.0 x 4.0 x 4.5 cmPeripheral Zone: There is hemorrhage in the left base peripheral zone and right mid gland and apex peripheral zone. In the nonhemorrhagic regions, there is a large area of low T2/ADC signal with early enhancement extending throughout the right base, mid gland and apex. In the right mid gland, this lesion measures 3.1 x 2.3 cm (401/10).Central Gland: BPH nodules.Seminal Vesicles: Large right-sided lesion abuts the seminal vesicles.Extracapsular Extension: There is irregularity of the capsule in the right mid gland (401/9), likely representing extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Small right external iliac node measuring 11 x 8 mm (1301/90). Small pelvic sidewall node measures 1.0 x 0.9 cm (1301/90).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Fat-containing inguinal hernias.
1.Large right-sided lesion throughout the base, mid gland and apex is suspicious for prostatic adenocarcinoma with findings suggesting extracapsular extension.2.Mildly enlarged pelvic lymph nodes are suspicious for nodal metastases.