78-year-old male with history of prostate cancer and elevated PSA. Pathology 11/4/2015: right lateral apex- Prostatic adenocarcinoma, Gleason grade 3+4=7right apex- Prostatic adenocarcinoma, Gleason grade 3+3=6right base prostate- Prostatic adenocarcinoma, Gleason grade 3+3=6left lateral mid- Prostatic adenocarcinoma, Gleason grade 3+3=6, see comment.left lateral apex- Prostatic adenocarcinoma, Gleason grade 3+3=6, see comment.left apex- Prostatic adenocarcinoma, Gleason grade 3+3=6, see comment. PELVIS:PROSTATE:Prostate Size: 5.5 x 3.7 x 4.4 cmPeripheral Zone: Lesion in the right mid gland demonstrating T2 hypointensity with corresponding low ADC signal (series 901, image 17) measuring approximately 4 x 4 millimeters.Lesion in the right apex demonstrating T2 hypointensity with corresponding low ADC signal (series 901, image 13) measuring 8 x 3 mm.The right base is difficult to evaluate given artifact.Lesion in the left mid gland/apex demonstrating T2 hypointensity with corresponding low ADC signal (series 901, image 16) measuring approximately 10 x 5 mm.Central Gland: Heterogeneous and nodular central gland compatible with benign prostatic hypertrophy.Seminal Vesicles: No evidence of extension to seminal vesicles.Extracapsular Extension: No extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific mildly enlarged external iliac chain lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a small left inguinal fat-containing hernia.
1.Multiple suspicious prostatic lesions as detailed.2.Nonspecific mildly enlarged external iliac chain lymph nodes.