68-year-old male with rising PSA and history of negative TRUS guided biopsies. Assess for prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.4 x 5.9 x 5.8 cm.Peripheral Zone: Low T2 signal with restricted diffusion and increased enhancement extending posteriorly from the left base to the inferior mid gland, compatible with prostate cancer. The lesion measures up to 2.3 x 1.2 cm in greatest axial dimension (series 503/404).Central Gland: Heterogeneous.Seminal Vesicles: Left-sided prostate cancer demonstrates invasion into the inferior left seminal vesicle.Extracapsular Extension: Thinning of the posterior capsule on the left with mild focal extracapsular extension of the above-mentioned prostate cancer.BLADDER: No significant abnormality noted.LYMPH NODES: A nonspecific 10 x 10 mm left external iliac lymph node is seen (series 1802/121).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left-sided prostate cancer with left seminal vesicle invasion and focal extracapsular extension.