Male 71 years old prostate cancer. Evaluate for brachytherapy consideration. PELVIS:PROSTATE:Prostate Size: 4.5 x 3.5 x 4.1 cmPeripheral Zone: There is a T2 and ADC hypointense intense lesion on the right extending from the apex to the base measuring 16 x 8 mm (series 701, image 12) with possible anterior extracapsular extension. This cannot be separated from an adjacent transitional zone nodule that measures 17 x 16 mm (series 701, image 12). This transitional zone lesion may be part of the more anterior lesion and cancer is favored however, we cannot exclude the possibility of this representing a BPH nodule. Similar small foci of T2 hypointensity are seen on the left suspicious for additional sites of cancer.Central Gland: Benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: Possible anterior extracapsular extension related to the right anterior peripheral zone lesion.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Bone marrow signal intensity is within normal limits.OTHER: No significant abnormality noted.
Multiple lesions suspicious for prostate adenocarcinoma. The anterior lesion has possible extracapsular extension.