67-year-old male with history of prostate cancer. Evaluate high-risk features and staging.Per pathology report: Prostate, left base medial; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+3=6.Prostate, left base lateral; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+4=7.Prostate, left mid lateral; needle biopsy: Prostatic adenocarcinoma, Gleason grade 3+3=6. PELVIS:PROSTATE:Prostate Size: 4.6 x 2.5 cmPeripheral Zone: There is T1 hyperintensity consistent with postbiopsy hemorrhage. There is a small focus of T2 hypointensity with corresponding low ADC signal and enhancement in the left mid peripheral zone measuring 0.7 x 0.6 cm.Central Gland: Heterogeneous signal corresponding to benign prostatic hypertrophy.Seminal Vesicles: No evidence of involvement of the seminal vesicles.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Small focus in the left mid peripheral zone consistent with known prostatic adenocarcinoma without evidence of seminal vesicle involvement or extracapsular extension.