65-year-old male with history of prostate cancer PELVIS:PROSTATE:Prostate Size: 5.0 x 3.5 x 4.3 cm.Peripheral Zone: There is a large anterior left base peripheral zone lesion with measuring at least 4.2 x 2.4 cm transaxially. This lesion demonstrates early enhancement on DCE. Additional T2 hypointense lesions in the left mid gland and right base.Central Gland: Extension of left apical gland lesion into the left transitional zone.Seminal Vesicles: No specific evidence of seminal vesicle invasion.Extracapsular Extension: There is evidence of extracapsular extension anteriorly and on the left at the base. BLADDER: There is extension of the transitional zone into the bladder base. A component of the predominant left base lesion extending into the base of the bladder cannot be entirely excluded.LYMPH NODES: No significant lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large anterior left base peripheral zone lesion with extracapsular extension as described above. Tumor involvement of the portion of bladder extending into the bladder base cannot be entirely excluded. 