History of newly diagnosed prostate cancer (Gleason 7 left apex, mid, and base; Gleason 6 right apex). PELVIS:PROSTATE:Prostate Size: 5.1 x 2.4 x 4.6 cm.Peripheral Zone: Within the left mid gland to apex, there is a 1.0 x 0.8 cm lesion which demonstrates low signal on T2 and ADC weighted imaging and which is suspicious for malignancy. There is minimal associated bulging of the capsule. The lesion appears to contact but not invade the left neurovascular bundle. At the right apex, there is a 0.5 x 1.0 cm focus of decreased signal on ADC images (series 403, image 264) which lacks corresponding signal changes on T2-weighted images but remain suspicious for malignancy.Central Gland: No significant abnormality.Seminal Vesicles: No significant abnormality.Extracapsular Extension: Minimal capsular bulging associated with left peripheral zone lesion without definite extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: A nonspecific subcentimeter left external iliac lymph node is present.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Scattered linear foci of increased T1 signal within the peripheral zone and central gland are compatible with blood products related to recent biopsy.
Lesions in the peripheral zone left mid gland and right apex as described above which are suspicious for malignancy. There is minimal capsular bulging associated with the left mid gland lesion without definite extracapsular extension.