64-year-old man with history of prostate cancer on surveillance. Additional history as per chart: Biopsy on 10/5/2015 revealed Gleason 6 adenocarcinoma, last PSA of 8.1. PELVIS:PROSTATE:Prostate Size: 53 x 43 mm.Peripheral Zone: There is a very small 5 x 4 mm T2 hypointensity in the right peripheral apex (series 801, image 53) which demonstrates restriction on diffusion weighted images and mild enhancement. No additional tumor is identified.Central Gland: There is hypertrophy of the transitional zone.Seminal Vesicles: The seminal vesicles appear normal.Extracapsular Extension: There is no evidence of extracapsular extension.BLADDER: The bladder is normal.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Very small focus of abnormal signal in the right prostatic apex without extracapsular extension which may represent adenocarcinoma.