Male 74 years old with prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.3 x 3.5 x 4.4 cmPeripheral Zone: Post ablation changes are seen in the left apex and left mid zone. There is a subcentimeter focus of T2 signal abnormality in the right mid gland without associated ADC abnormality or enhancement. Central Gland: Mild benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Post ablation changes in the left apex and left mid gland.2.Subcentimeter focus of signal abnormality in right mid gland is of low suspicion for cancer. PIRADS 2.3.No target lesion is identified.PI-RADS™ v2 Assessment Categories:PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 – Low (clinically significant cancer is unlikely to be present)PIRADS 3 – Intermediate (the presence of clinically significant cancer is equivocal)PIRADS 4 – High (clinically significant cancer is likely to be present) PIRADS 5 – Very high (clinically significant cancer is highly likely to be present)https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/PIRADS/PIRADS%20V2.pdf