64 year-old male with prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.9 x 3.0 x 4.0 cm (TR x AP x CC)Peripheral Zone: Note is made of multiple foci of decreased T2 signal abnormality in the right and left paramedian base of the peripheral zone of the prostate gland with associated restricted diffusion. While no postcontrast images are available for further evaluation, these findings are suspicious for prostate carcinoma. The largest focus measures 8 x 4 mm (17; series 801).Seminal Vesicles: There is no evidence of seminal vesicle involvement.Extracapsular Extension: No convincing evidence of extracapsular extension.BLADDER: Concentric bladder wall thickening is nonspecific, but suggestive of chronic outlet obstruction.LYMPH NODES: No evidence of lymphadenopathy.BONES, SOFT TISSUES: Focus of decreased T1 and T2 signal abnormality in the right superior pubic ramus likely represents a benign bone island. Nonspecific diffusely heterogenous bone marrow signal abnormality is incompletely characterized due to lack of contrast administration, but may represent islands of red marrow. OTHER: No significant abnormality noted.
Multiple foci of signal abnormality in the base of the peripheral zone of the prostate gland. While no post contrast images were obtained, these findings are suspicious for prostate carcinoma. 