Reason: 76M hx GL 4+3=7 prostate cancer. Evaluate for focal lesion for focal ablation therapy. History: as above PELVIS:PROSTATE:Prostate Size: 4.8 x 3.3 x 3.5 cmPeripheral Zone: There is a 2.0 x 2.0 cm T2/ADC hypointense lesion in the peripheral zone of the right mid and base of the prostate. This lesion extends into the transition zone and along the inferior aspect of the seminal vesicles.Central Gland: Multiple BPH nodules.Seminal Vesicles: Large lesion at the right mid and base extends to the inferior seminal vesicles.Extracapsular Extension: There is indistinctness of the capsule at the level of the right base (801/17).BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large lesion in the peripheral zone of the right mid prostate and base, suspicious for prostate adenocarcinoma.2.Irregularity of the capsule of the right base, raising suspicion for extracapsular extension.3.Lesion at the right base is immediately adjacent to the seminal vesicles, microinvasion cannot be excluded.4.No lymphadenopathy.