50-year-old male with elevated PSA. PELVIS:PROSTATE:Prostate Size: 3.5 x 4.1 x 3.8 cm.Peripheral Zone: Large focus of prostate cancer extending from the right base to mid gland anteriorly with low T2 signal, restricted diffusion, and increased enhancement, measuring up to 20 x 16 mm.Central Gland: Heterogeneous.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: There is slight extracapsular extension of the above-described prostate cancer in the right anterior prostate gland.BLADDER: No significant abnormality noted.LYMPH NODES: A nonspecific right external iliac lymph node measures 6 mm (series 1 701/104). No pathologically enlarged lymph nodes by size criteria.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Right anterior prostate gland cancer with slight extracapsular extension. This lesion would be amenable to MR-guided biopsy.