History of prostate cancer. Pathology dated 1/15/2016 right mid medial 3+ 3 2-mm 15%, right mid lateral 3+3 less than 1 mm 5%, right Apex medial 3+ 3 7-mm 7%, right Apex lateral 3+4 10 mm 70%, left base medial 3+4 less than 1 mm 5%, left apex medial 3+ 3 1-mm. PELVIS:PROSTATE:Prostate Size: 4.0 x 5.8 x 5.6 cmPeripheral Zone: In the medial right apex there is a poorly marginated 1.4 x 1.1 cm T2-weighted hypointense lesion (series 501/7) with associated restricted diffusion (series 703/124). The lesion demonstrates avid early enhancement (series 1901/1214) and washout.Otherwise the peripheral zone is heterogeneous onT2-weighted imaging without an additional dominant lesion.Central Gland: Changes of benign prostatic hyperplasia.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The right apical lesion appears to extend beyond the expected prostate boundary on diffusion weighted imaging and bulges the capsule on DCE imaging suspicious for extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific mildly prominent right external iliac lymph node.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant 1.3 cm right apical lesion is suspicious for prostatic adenocarcinoma with local extraprostatic extension.