Prostate cancer.Rise in PSA to 6.62 ng/mL. Transrectal ultrasound and biopsy, adenocarcinoma, Gleason score 6 (3+3) , involving 2/12 cores: left lateral base- 4% of a 5mm core and right medial base - 29% of a 5mm core. PELVIS:PROSTATE:Prostate Size: 4.8 x 3.0 cm.Peripheral Zone: Lesion at the right base demonstrating hypointense T2 and ADC signal measures at least 6 x 6 mm (image 18 series 801) and may represent patient's known prostatic adenocarcinoma. This lesion abuts the capsule though, and while no clear extracapsular extension is seen, this cannot be entirely excluded. No other definite lesion is identified.Central Gland: Multiple well-defined nodules demonstrate benign morphology without suspicious characteristics.Seminal Vesicles: No evidence of seminal vesicle invasion. Seminal vesicles appear atrophic.Extracapsular Extension: While no clear extracapsular extension is seen, the lesion above abuts the capsule and therefore extracapsular extension cannot be entirely excluded.BLADDER: No significant abnormality noted.LYMPH NODES: Bilateral pelvic sidewall lymph nodes measure approximately 8 mm in short axis. No pathologically enlarged lymph nodes are present.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Lesion in the right base as described above, suspicious for known prostatic adenocarcinoma. Extracapsular extension cannot be entirely excluded. No evidence of seminal vesicle invasion.