Reason: 58M with prostate CA interested in localizer ablation, please assess for prostate lesions History: prostate CA. He was found to have an elevated PSA, which increased from 3.11 in 10/2014 to 6.52 (13% free: total) in 04/2016. He therefore underwent TRUS and prostate biopsy on June 3, 2016, revealing Gl 3+3 in 1 of 12 cores in R apex with tumor present in >50% of core. His approximate tumor length was 6.0 mm. PELVIS:PROSTATE:Prostate Size: 4.9 x 3.6 x 4.0 cm.Peripheral Zone: There is diffusely decreased T2 signal within the peripheral zone which somewhat limits evaluation for lesions. There is an area of decreased T2 and ADC signal within the right apex/mid gland which measures 1.0 x 1.2 cm and is suspicious for neoplasm.Central Gland: There is a sharply marginated focus of decreased T2 signal within the left transitional zone which is most compatible with a hyperplastic nodule.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: The bone marrow signal is diffusely heterogeneous.OTHER: No significant abnormality noted.
1.Area of signal abnormality in the right peripheral zone apex/mid gland suspicious for neoplasm without evidence of extracapsular extension.2.Nonspecific heterogeneous bone marrow signal, correlation with nuclear medicine bone scan can be considered as clinically warranted.