42-year-old male with history of prostate cancer who presents for preoperative workup. PELVIS:PROSTATE:Prostate Size: 1.5 x 3.8 x 2.7 cmPeripheral Zone: There is a T2 hypointense lesion with corresponding low ADC signal in the left mid gland with extension towards the base and posterior bulging of the contour of the base; this lesion measures 1.5 x 0.7 cm. Additionally, there is a right base T2 hypointense lesion with corresponding low ADC signal measuring up to 0.7 cm (series 1101, image 18).Central Gland: Heterogeneous in appearance consistent with benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: There is bulging of the capsule posteriorly without definite evidence of extracapsular 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.Prostate lesions as detailed above raise concern for carcinoma (particular lesion located in left prostate) without evidence of seminal vesicle invasion.2.Bulging of the left base prostate capsule posteriorly without definite evidence of extracapsular extension.