History of prostate cancer. Biopsy dated 1/29/2016 demonstrated 3+ 3 1-mm less than 5% right base, 3+ 3 1-mm 10% left mid, 3+ 3 2-mm 20% left lateral base, 3+ 3 1-mm less than 5% left lateral mid prostatic adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 3.6 x 4.7 x 4.2 cmPeripheral Zone: There is diffuse mildly decreased T2 weighted signal intensity of the peripheral zone in addition to scattered linear signal hypointensity.In the lateral mid gland there is a focal 7 x 7 mm T2 weighted hypointense lesion (series 801/17) associated with restricted diffusion (series 1000 3/264) and mild relative hyper enhancement (2301/789). Sub-5 mm focus of T2 weighted hyperintensity and restricted diffusion in the left apex (series 801/11 and series 1003/144).No additional discrete suspicious lesion.Central Gland: Mild changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: Mild bulging of the prostate contour adjacent to the left lateral mid gland lesion.BLADDER: No significant abnormality noted.LYMPH NODES: Mildly prominent nonspecific external iliac lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant 7 mm lesion in the left lateral mid gland is suspicious for prostatic adenocarcinoma. The lesion bulges the prostatic margin.