History of Gleason 6 prostate cancer in the right mid gland and apex. Considering active surveillance. Evaluate extent of disease. PELVIS:PROSTATE:Prostate Size: 5.3 x 4.4 x 2.8 cmPeripheral Zone: There is heterogeneous low T2 signal throughout the peripheral zone. In the right lateral mid gland and approaching the apex there is low T2 signal become slightly more confluent measuring 10 x 0.11 mm (series 801 image 19). This is associated with mild restricted diffusion and mild early arterial enhancement. There is a similar focus in the left mid gland/apex which also measures 11 x 10 mm and has mild restricted diffusion and early arterial enhancement. Central Gland: Mild to moderate nodular hypertrophic changes of benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None detected.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings suspicious for but not definitive of malignancy involving the bilateral mid to apical peripheral zones as described. Linear margins are noted which may be seen in setting of underlying scarring or prostatitis also making detection of an underlying lesion suboptimal. No evidence of extracapsular extension or metastatic disease.