Prostate cancer. PELVIS:PROSTATE:Prostate Size: 2.6 x 3.7 x 4.1 cmPeripheral Zone: In the left mid gland lateral peripheral zone there is a 9.0 x 8.1 mm lesion demonstrating T2 weighted hypointensity (series 301/78) with associated restricted diffusion (series 403/304). Otherwise the peripheral zone is atrophic and diffusely heterogeneous in T2-weighted signal intensity without a dominant lesion on ADC or T2-weighted imaging.Central Gland: In the anterior transition zone there is a 1.3 x 1.2 cm lesion demonstrating restricted diffusion (series 403/284) heterogeneous low T2 weighted signal intensity (series 801/15) and significant early arterial enhancement and washout (series 1 401/1 207).Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The mid-gland anterior lesion has small spicules of enhancement extending beyond the margin of the prostate.The left mid gland lesion has a broad base of abutment with the prostatic margin with mild bulging but no frank extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Small nonspecific external iliac lymph nodes are noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Highly suspicious midline mid-gland anterior transition zone lesion measuring up to 1.4 cm with enhancement outside of the margin of the prostate.2.Additional moderately suspicious lesion in the left mid gland peripheral zone.3.Nonspecific small external iliac lymph nodes.