Prostate cancer, biopsy proven. PELVIS:PROSTATE:Prostate Size: 5.3 x 2.7 x 3.5 cmPeripheral Zone: There is a 1.5 x 0.6 cm T2 hypointense lesion in the left lateral peripheral zone at mid gland, with diffusion restriction and enhancement, suspicious for carcinoma (series 1101, image 14).Central Gland: Heterogeneous. There is a 1.3 x 0.8 cm T2 hypointense lesion in the anterior fibromuscular stroma which demonstrates ADC low signal, suspicious for carcinoma (series 604, image 324).Seminal Vesicles: No evidence of seminal vesicle involvement.Extracapsular Extension: The left lateral peripheral zone lesion abuts the capsule, causing capsular irregularity, and abuts the left neurovascular bundle and levator ani muscle, without definite involvement.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. No lymphadenopathy by size criteria BONES, SOFT TISSUES: No significant abnormality noted.
Two lesions in the prostate gland suspicious for carcinoma, as described above.