History of prostate cancer. 3+3 disease in the right and left base. 3+4 disease in the left apex. PELVIS:PROSTATE:Prostate Size: 4.7 x 5.0 x 5.4 cmPeripheral Zone: The peripheral zone is diffusely thinned and heterogeneous with multiple foci of T2-weighted signal hypointensity including the left apex (series 1000 1/14) and left and right base (image 20). The dominant lesion is in the left apex measuring approximately 1.1 x 0.5 cm (series 1001/13). It appears to have early enhancement as well.Central Gland: Changes of benign prostatic hyperplasia.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No specific evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific 5 mm right obturator lymph node. 6 mm left external iliac lymph node.BONES, SOFT TISSUES: T1 hyperintense left femoral head focus is nonspecific. Similar smaller focus on the right.OTHER: No significant abnormality noted.
1.Dominant 1.1 cm lesion in the left apex.2.No specific MR evidence of seminal vesicle invasion or extraprostatic extension. No pelvic lymphadenopathy.3.Intrinsically hyperintense left femoral head punctate osseous focus is nonspecific; likely a benign synovial herniation pit.4.Nonspecific small pelvic lymph nodes.