70-year-old man with history of prostate cancer status post biopsy in 7/2015 with Gleason 8 prostate cancer and PSA of 6.7 in 9/2015. PELVIS:PROSTATE:Prostate Size: 59 x 41 mm.Peripheral Zone: There is a 16 x 9 mm mass arising from the right peripheral zone of the mid prostate (series 401, image 75). This mass is hypointense on T2 images, demonstrates diffusion restriction, enhancement, and contrast washout.Central Gland: No significant abnormality noted.Seminal Vesicles: The seminal vesicles do not appear to be involved.Extracapsular Extension: The capsule appears to be evaluated and the tumor appears to invade the adjacent neurovascular bundle (series 401, image 79). The tumor abuts the right obturator musculature.BLADDER: The bladder is normal.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings compatible with right mid peripheral zone prostate adenocarcinoma. Involvement of the adjacent neurovascular bundle but no lymphadenopathy.