Male; 57 years old. Reason: assess extent of known prostate cancer History: PSA >100; 4+3 disease in biopsy but CT and bone scan reportedly negative PELVIS:PROSTATE:Prostate Size: 3.8 x 4.4 x 3.9-cm.Peripheral Zone: Multifocal, extensive prostate cancer extending from the base bilaterally through the mid gland, right greater than left, with sparing at the left apex. Central Gland: Heterogeneous.Seminal Vesicles: Bilateral seminal gland invasion (series 401/66).Extracapsular Extension: Extracapsular extension is seen at the right lateral mid gland.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent, nonspecific right iliac chain lymph node measures 18 x 8 mm (series 1802/88).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal, diffuse prostate cancer with bilateral seminal gland invasion and mild right extracapsular extension.