58-year-old male with history of prostate cancer who presents for MRI evaluation.Pathology report 9/10/2014Prostate, right apex medial; needle biopsy:- High grade prostatic intraepithelial neoplasia PELVIS:PROSTATE:Prostate Size: 4.2 x 5.6 x 5.2 cmPeripheral Zone: Punctate 4 mm focus of restricted diffusion in the left apex (series 603/284), with associated decreased T2 weighted signal intensity.Central Gland: Changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Stable 4 mm focus in the left apex may represent prostatic adenocarcinoma. No extraprostatic extension or pelvic lymphadenopathy.