Reason: prostate cancer History: see aboveBiopsy 4/15/2016: Right base and mid, Gleason 7. Left mid, Gleason 6 PELVIS:PROSTATE:Prostate Size: 4.0 x 2.7 x 3.6 cmPeripheral Zone: 1.3 x 0.7 cm lesion in the right mid gland peripheral zone and base is dark on T2/ADC with diffusion restriction (601/17). On precontrast images, there is hemorrhage within the peripheral zone however, this region is spared. No evidence of early enhancement.Additional areas of low T2 signal throughout the peripheral zone corresponding to sites of hemorrhage, likely from prior biopsy.Central Gland: Multiple BPH nodules.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: Irregularity of the capsule adjacent to the lesion in the right mid gland raises the suspicion fracture capsular extension (601/14).BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Lesion in the right peripheral zone of the mid gland and base is suspicious for prostate adenocarcinoma.2.Irregularity in the adjacent capsule raises the suspicion of extracapsular extension.3.No pelvic lymphadenopathy.