66-year-old man with history of PSA of 7.2 in June 2016, subsequent prostate biopsies with Gleason 7 and Gleason 6 adenocarcinoma in the right lobe. PELVIS:PROSTATE:Prostate Size: 43 x 25 mm.Peripheral Zone: There is an 8 x 5 mm area of T2 hypointensity in the right lateral mid gland (301/82) with corresponding diffusion restriction (408/304). The remainder of the peripheral zone appears normal.Central Gland: Central gland appears normal.Seminal Vesicles: Seminal vesicles are normal.Extracapsular Extension: The right lateral mid gland focus abuts the prostate capsule which appears irregular at this site.BLADDER: No significant abnormality noted.LYMPH NODES: No significantly enlarged lymph nodes are identified.BONES, SOFT TISSUES: Normal marrow signal in the pelvis.OTHER: No significant abnormality noted.
1.Focus of signal abnormality in the right lateral mid gland suspicious for adenocarcinoma. Irregularity of the adjacent capsule, minimal extracapsular extension not excluded.