52-year-old male. History prostate cancer. Patient scheduled for RALP. PELVIS:PROSTATE:Prostate Size: 3.5 x 3.9 x 4.5 cm. Peripheral Zone: In the apex, there is extension of tumor from the transitional zone into the medial left peripheral zone (series 801, image 11). 1.2 x 0.5 cm T2 hypointense lesion in the left base and a subcentimeter lesion in the medial right base, suspicious for additional tumor foci (series 801, image 16).Central Gland: Diffusion restricting, T2 hypointense lesion in the anterior and left transitional zone in the apex consistent with prostate cancer, measuring 1.9 x 1.1 cm (series 801, image 11). The anterior component of tumor measures 1.8 x 0.7 cm, with broad based extension to the fibromuscular stroma and is concerning for extracapsular extension (series 801, image 13).Seminal Vesicles: None.Extracapsular Extension: Findings suspicious for extracapsular extension at the anterior fibromuscular stroma, as described above.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal prostate cancer with dominant lesion in the central to left TZ and medial left peripheral zone at the apex. Findings suspicious for extracapsular extension at the anterior fibromuscular stroma.