Provided history of prostate cancer. 7/15/2015 biopsy demonstrated 4+4 LLB, LMB and 3+4 LLM prostatic adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 3.7 x 4.8 x 4.1 cmPeripheral Zone: There is intrinsic T1 weighted signal hyperintensity (series 1001/20) in the left lateral base through mid gland of the peripheral zone reflecting post-biopsy hemorrhage. This obscures the region of the patient's known prostatic adenocarcinoma where there is low T2-weighted signal and mild restricted diffusion. 5 mm focus of T2 weighted hypointensity (series 901/11) and associated restricted diffusion (series 504/184) in the right medial apex may represent an additional site of disease. No other suspicious foci are identified.Central Gland: Mild changes of benign prostatic hyperplasia.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: There is mild bulging of the prostate at the level of the left mid gland and base (series 9 and 1/14) but no frank extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: Non-specific subcentimeter left obturator lymph node measuring 0.9 x 0.8 cm (series 901/26).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Post-biopsy changes of the left peripheral zone. There is slight bulging of the prostate contour but no frank extraprostatic extension. No seminal vesicle invasion. Nonspecific subcentimeter left obturator lymph node.2.Possible additional 5 mm focus of prostatic adenocarcinoma in the right apex.