56 year old male patient with biopsy proven prostate cancer. Evaluate for extracapsular spread. PELVIS:PROSTATE:Prostate Size: 3.2 x 4.7 x 3.9 cm. Peripheral Zone: There is a 1.0 x 1.4 cm region of T2 hypointensity, ADC hypointensity, and early enhancement within the right base of the peripheral zone compatible with tumor (image 58, series 301). The overlying capsule is indistinct with likely focal extraprostatic extension.Central Gland: BPH nodules.Seminal Vesicles: No definite involvement.Extracapsular Extension: As described above.BLADDER: No significant abnormality noted.LYMPH NODES: Non-specific small bilateral external iliac and left internal iliac lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Fat-containing bilateral inguinal hernias.
Tumor within the right base of the peripheral zone with focal extraprostatic extension.