47-year-old male with history of prostate cancer. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.6 x 2.9 x 5.5 cm.Peripheral Zone: Ill-defined T2 hypointense region extending from the left apex to the base with associated decreased ADC signal measuring 1.9 x 1.3 cm in maximal axial dimensions. Small area of increased T1 signal around the left base compatible hemorrhage.Central Gland: Mild BPH.Seminal Vesicles: UnremarkableExtracapsular Extension: The lesion abuts the capsule near the apex, however no frank invasion is evident.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Ill-defined lesion extending from the left apex to base compatible with prostate adenocarcinoma with bulging of the left apex which is suspicious for capsular invasion.