72-year-old male with history of prostate cancer. Biopsy 9/19/2016: Gleason 6 right base lateral; Gleason 7 right mid lateral; Gleason 6 right apex medial; Gleason 6 right apex lateral; Gleason 6 left apex medial PELVIS:PROSTATE: Examination is limited due to patient motion.Prostate Size: 4.4 x 5.2 x 3.3 cm perPeripheral Zone: There is intrinsic T1 signal throughout the peripheral zone which may reflect hemorrhage from recent biopsy.Focus of early arterial enhancement corresponding to a focus of T2 hypointensity in the right peripheral zone apex and mid gland.Central Gland: Severe degree benign prostatic hypertrophy. The anterior transitional zone is abnormal in appearance with low T2 signal. Seminal Vesicles: Seminal vesicles are atrophic. Focus of T1 hyperintensity in the left seminal vesicle may represent blood product from hemorrhage. Extracapsular Extension: There is probable extracapsular extension of right apex peripheral zone lesion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is small volume pelvic ascites.
1.Limited examination due to diffuse T1 hyperintensity reflecting hemorrhage in the peripheral zone and due to motion. 2.Right apex lesion is suspicious for malignancy with probable extracapsular extension. 3.Abnormal appearance and low T2 signal in the anterior transitional zone. Cannot exclude malignancy in this region. 4.Small pelvic ascites.