70-year-old male with history of prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.4 x 5.4 x 5.8 cmPeripheral Zone: The peripheral zone is thinned. In the left apex and mid gland there are several subcentimeter foci of restricted diffusion with very subtle associated T2-weighted signal abnormality. (Series 604, image 264, 304, 324) These may be related to the patient's prostatic adenocarcinoma.Central Gland: Marked BPH enlargement without a discrete suspicious lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Left inguinal fullness may reflect inguinal hernia repair or hernia.OTHER: No significant abnormality noted.
Several subcentimeter foci of restricted diffusion within the left apex and mid gland likely correspond to the patient's prostatic adenocarcinoma. No evidence of extraprostatic tumor extension or pelvic lymphadenopathy. Please note that the study is slightly limited by lack of intravenous contrast.