70 year old male patient with history of prostate cancer, status post ablation, and elevated PSA. PELVIS:PROSTATE:Prostate Size: 4.7 x 2.7 x 4.7 cm (transverse x AP x craniocaudal). Peripheral Zone: The left peripheral zone is atrophied with linear T2 hypointensity and ADC hypointensity within the region of ablation compatible with post-treatment related changes/scarring. Enhancement adjacent to the area of scarring within the medial left apex is also likely post-treatment related.There is a focus of T2 hypointensity with ADC hypointensity and questioned early enhancement within the right mid gland of the peripheral zone (image 20, series 501). Central Gland: The central gland is heterogeneous.Seminal Vesicles: No definite involvement.Extracapsular Extension: No definite 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.
1.Post-treatment related changes to the left peripheral zone.2.2 mm focus of signal abnormality within the right mid gland; follow up is recommended.