3+3 disease in the left mid medial peripheral zone 3 mm 15%. PELVIS:PROSTATE:Prostate Size: 2.8 x 4.6 x 3.2 cm.Peripheral Zone: 1.0 x 0.7 cm focus of restricted diffusion (series 603/344) and associated low T2-weighted signal intensity (series 901/18) in the medial right mid gland peripheral zone without associated early arterial enhancement.Approximately 6 mm focus of restricted diffusion (603/324) and associated T2-weighted hyperintensity (series 901/17) in the left medial mid gland.Central Gland: In the anterior left apex there is a poorly defined region of restricted diffusion measuring 1.3 x 0.8 cm (series 603/264) associated with poorly defined intermediately low T2-weighted signal abnormality (series 901/14) with suspected arterial enhancement.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The right mid gland lesion abuts the prostatic margin without frank extension.BLADDER: Small right lateral bladder wall diverticulum.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Two peripheral zone subcentimeter foci are suspicious for prostatic adenocarcinoma.2. 1.3 cm lesion in the left apex of the mid gland may represent a dominant site of disease and is amenable to MRI/ultrasound fusion biopsy.