79-year-old male patient with prostate cancer. PELVIS:PROSTATE:Prostate Size: 5.5 x 3.8 x 4.6 cm.Peripheral Zone: There is ill-defined signal abnormality with T2 hypointensity, mild ADC hypointensity, and early enhancement extending from the left base to the mid gland with more focal abnormality within the left base measuring approximately 7 x 4 mm (image 17, series 701). Of note, the left peripheral zone is atrophic in comparison to the right peripheral zone.Central Gland: Post-surgical changes of a transurethral resection of the prostate.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No specific evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: There is a small left external iliac lymph node (image 127, series 1501); this is non-specific, however, metastatic disease is not excluded.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Atrophic left peripheral zone with ill-defined signal abnormality within the left base and mid-gland. 2. No evidence of extra-prostatic extension.3. Small left external iliac lymph node is non-specific; metastatic disease is not excluded. 