66-year-old man with increasing PSA. PELVIS:PROSTATE:Prostate Size: 42 x 34 mm.Peripheral Zone: There is an area of T2 hypointensity, diffusion restriction, and avid enhancement seen in the anterior right paramedian prostate apex (series 801, image 13; series 43, image 264; series 1401, image 1366). This area measures approximately 17 x 13 mm in maximal cross-sectional dimension.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality or involvement of the seminal vesicles noted.Extracapsular Extension: The capsule at the 10:00 position of the right prostatic apex (series 1401, image 1367) appears to be involved.BLADDER: The bladder is markedly distended. Please note that the patient attempted to void prior to examination.LYMPH NODES: Inguinal lymph nodes are noted, likely reactive. No suspicious lymphadenopathy identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Lesion in the right paramedian prostatic apex suspicious for prostate carcinoma with extraprostatic extension.2. Markedly distended bladder post-void without significant central zone hypertrophy.