Prostate cancer. TRUS guided biopsy at Northwestern on 5/14/15 which showed Gleason 4+3=7 adenocarcinoma of the prostate in the right mid gland (2 of 2 cores, 90 and 95%, perineural invasion present) and Gleason 3+4= 7 adenocarcinoma of the prostate in the right base (2 of 2, 60% and 30%, perineural invasion present), left mid (2 of 2 cores, 15% and 5%, perineural invasion present), and the right apex (2 of 2 cores, 70% and 70%, perineural invasion present). PELVIS:PROSTATE:Prostate Size: 4.4 x 3.0 x 4.0 cmPeripheral Zone: Multifocal areas of T2 hyperintensity with associated diffusion restriction in the right and left mid gland compatible with carcinoma. The largest of these measures 2.0 x 0.6 cm in the right mid gland.Central Gland: Heterogeneous.Seminal Vesicles: Atrophic bilaterally, without definite invasion.Extracapsular Extension: Findings suggestive of extracapsular extension on the right and involvement of the right neurovascular bundle.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. No lymphadenopathy by size criteria.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Sigmoid diverticulosis without diverticulitis.
Multifocal prostate carcinoma, right greater than left, with probable extracapsular extension and involvement of the neurovascular bundle on the right.