Newly diagnosed prostate cancer. PELVIS:PROSTATE:Prostate Size: 2.7 x 4.3 x 5.0 cmPeripheral Zone: The dominant lesion is noted in the left mid gland measuring 1.2 x 1.0 cm demonstrating low T2 weighted signal (series 701/19) and restricted diffusion (series 904/344). This lesion demonstrates relative washout.Additional lesion in the right base with similar characteristics (series 904/384).An additional 5 mm lesion is noted in the right lateral mid gland (series 701/17).Central Gland: Changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: There is suspected extracapsular extension of both the right and left mid gland lesions. On the left there is broad-based abutment and loss of definition of the prostate margin. On the right the lesion extends beyond the margins of the prostate.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymph nodes.BONES, SOFT TISSUES: No definite enhancing osseous lesion is identified.OTHER: No significant abnormality noted.
Multifocal disease including bilateral mid gland lesions with suspected extracapsular extension as described above. No evidence of seminal vesicle invasion or enlarged pelvic lymphadenopathy.