New diagnosis of high-grade prostate cancer, staging exam. Recent biopsy showed Gleason score 9 (4+5) adenocarcinoma of left base. PELVIS:PROSTATE:Prostate Size: 4.7 x 2.9 x 3.7 cm.Peripheral Zone: There is a lesion centered in the left base extending into the mid gland (series 801, image 16) measuring 1.5 x 2.2 cm which demonstrates low T2 and ADC signal. The lesion bulges the capsule and likely extends into the left neurovascular bundle. There is asymmetric enlargement and signal abnormality involving the left seminal vesicle compatible with tumor extension.Central Gland: No significant abnormality.Seminal Vesicles: Asymmetric enlargement and signal abnormality involving the proximal left seminal vesicle compatible with tumor extension.Extracapsular Extension: Probable extension into the left neurovascular bundle and left seminal vesicle as described above.BLADDER: No significant abnormality noted.LYMPH NODES: No abnormally enlarged symptoms are identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Prostate cancer centered at left base peripheral zone extending into the left mid gland. There is associated bulging of the capsule as well as probable extension into the left neurovascular bundle and left seminal vesicle.