Prostate cancer, evaluate disease extent PELVIS:PROSTATE:Prostate Size: 7 cm in transverse dimension x 6.9 cm in craniocaudal dimension x 7.4 cm in AP dimension.Peripheral Zone: Ovoid focus of T2 hypointense signal in right-sided mid peripheral zone posteriorly measuring 9 x 7 mm. Corresponding marked low ADC signal visualized, image 184 series 704. Early arterial enhancement suggested.Central Gland: Marked BPH with median lobe hypertrophy extending into bladder.Seminal Vesicles: Symmetric signal seen.Extracapsular Extension: Right-sided 9 mm peripheral zone T2 hypointense lesion does not demonstrate extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Right greater than left small fat-containing inguinal hernias.OTHER: Increased T1 signal seen in bilateral transition zones posteriorly, suspicious for underlying hemorrhage. To a lesser degree similar signal seen in bilateral peripheral zones. Atherosclerotic abdominal aorta, mildly aneurysmal.
1. Right-sided 9 mm mid peripheral zone lesion suspicious for prostatic adenocarcinoma given decreased T2 signal and marked low ADC signal.2. Mildly aneurysmal abdominal aorta partially imaged, measuring up to 3 cm.