59-year-old man with history of prostate cancer. Additional history as per chart: Biopsy in July 2016 with 4/4 cores of the left prostate involved with Gleason 3+4 and 3+3 adenocarcinoma, 1/4 cores of the right prostate involved with Gleason 3+3 prostate adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 4.0 x 3.1 cm.Peripheral Zone: In the left prostate midgland (701/17) there is a 6 x 4 mm region in the lateral peripheral zone with decreased T2 signal and diffusion restriction. Additionally, there is more diffuse signal abnormality in the bilateral mid gland (701/14) including a 2 mm cystic focus, likely inflammatory and postbiopsy.Central Gland: BPH nodules noted.Seminal Vesicles: Seminal vesicles appear normal.Extracapsular Extension: No 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.Focal signal abnormality in the left mid gland suspicious for adenocarcinoma.2.Diffuse signal abnormality in the mid prostate favored to represent prostatitis and postbiopsy change.