75-year-old male with nearly diagnosed high-grade prostate cancer; Gleason 8 right mid lateral PELVIS:PROSTATE:Prostate Size: 4.5 x 3.3 x 5.0 cm.Peripheral Zone: Suboptimal evaluation due to diffuse hemorrhage. Thinning and scarring of the left peripheral zone. T2 hypointense lesion with corresponding ADC restriction measuring 10 x 8 mm in the right mid gland peripheral zone highly suspicious for malignancy. Additional adjacent smaller T2 hypointense foci with corresponding restriction on ADC also seen and suspicious, e.g., measuring 7 mm in the right mid gland peripheral zone (series 301, image 65). T1 hyperintense striations in the peripheral and transitional zones suspicious for hemorrhage.T2 hypointense focus in the midleft peripheral zone with no corresponding low ADC signal and T1 bright signal favoring to be blood products. Central Gland: Marked benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality.Extracapsular Extension: No specific evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: T2 hyperintense lesion in the right femoral head, may be degenerative in etiology/subcortical cyst formation.OTHER: Diverticulosis without evidence of diverticulitis.
1.Suboptimal examination due to diffuse postprocedural hemorrhage (especially pronounced throughout peripheral zones) as described above.2.T2 hypointense lesion with corresponding ADC restriction in the right mid gland peripheral zone compatible with prostate malignancy.3.Additional smaller T2 hypointense/low ADC signal lesions seen, suspicious for neoplasm, e.g., smaller adjacent focus in right mid gland peripheral zone.