History of multifocal prostate cancer. March 9, 2016 Bx showed multiple cores of prostate cancer, including Gleason 3+4=7 at the right mid lateral and right base lateral, encompassing 15% to 45% of the individual cores. He also was found to have Gleason 6 prostate cancer at the left base lateral, left mid lateral, left apex lateral, and left base, encompassing 8% to 13% of the cores. PELVIS:PROSTATE:Prostate Size: 4.8 x 5.5 x 5.5 cmPeripheral Zone: The peripheral zone is diffusely thinned with linear T2 hypointense signal diffusely. There are several punctate regions of T1 weighted hyperintensity suggestive of hemorrhage/proteinaceous material.Demonstrated again is the right mid gland para medial lesion measuring approximately 1.1 x 0.8 cm (series 603/264) associated with mild decrease in T2 weighted signal intensity.Dominant left anterior apex lesion measuring 1.4 x 1.0 cm (series 603/144).Central Gland: Marked BPH without a discrete lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Redemonstrated multifocal prostatic adenocarcinoma with dominant bilateral lesions as described above. No specific evidence of extraprostatic extension.