Male 62 years old. Evaluate for prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.6 x 3.4 x 3.7 cmPeripheral Zone: 9 x 7 mm lesion in the left apex is hypointense on T2 and ADC and demonstrates contrast enhancement concerning for prostate adenocarcinoma. This lesion extends beyond the margin of the prostate.Central Gland: Mild benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The left apical lesion extends beyond the margin of the prostate.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
10 x 7 mm left apical lesion extends beyond the margin of the prostate and is concerning for prostate adenocarcinoma. PIRADS 4.PI-RADS™ v2 Assessment Categories:PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 – Low (clinically significant cancer is unlikely to be present)PIRADS 3 – Intermediate (the presence of clinically significant cancer is equivocal)PIRADS 4 – High (clinically significant cancer is likely to be present) PIRADS 5 – Very high (clinically significant cancer is highly likely to be present)https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/PIRADS/PIRADS%20V2.pdfI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.