66 year old male with history of prostate cancer. PELVIS: Motion artifact limits evaluation.PROSTATE:Prostate Size: 3.0 x 4.5 x 2.5 cmPeripheral Zone: There is a T2 hypointense focus within the left mid gland/base with corresponding low ADC signal; this focus measures 1.1 x 1.7 cm (series 901, image 17). It does not demonstrate significant contrast enhancement. Additional right mid gland subcentimeter T2 hypointense focus with corresponding low ADC signal (series 503, image 384).Central Gland: Central gland is heterogeneous, compatible with benign prostatic hypertrophy.Seminal Vesicles: No evidence of extension into the seminal vesicles.Extracapsular Extension: There may be minimal right-sided extracapsular extension (series 901, image 17).BLADDER: No significant abnormality noted.LYMPH NODES: There are subcentimeter proximal external iliac chain lymph nodes. Additionally, there are large distal iliac chain lymph nodes with reference noted on the right measuring 1.8 x 1.4 cm (series 1701, image 57).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large left mid gland/base and subcentimeter right mid gland suspicious for neoplasm as detailed.2.Bilateral distal external iliac chain enlarged suspicious lymph nodes.