History of prostate cancer (Gleason 8). 11/12 cores with prostate cancer, Gl 8 in 1, Gl 4+3 in 2, Gl 3+4 in 6, Gl 3+3 in 2 cores PELVIS:PROSTATE:Prostate Size: 5.7 x 4.4 x 5.3 cm.Peripheral Zone: There are several areas of decreased T2 and ADC signal within the bilateral apex, mid gland, and base, suspicious for neoplasm. The largest discrete area of signal abnormality is in the left apex (series 401, image 29) measuring 1.1 x 1.3 cm.Central Gland: No significant abnormality noted.Seminal Vesicles: No frank invasion of the seminal vesicles is identified.Extracapsular Extension: There is extracapsular extension on the left at the level of the mid gland (series 801, image 12) without definite involvement of the adjacent neurovascular bundle.BLADDER: No significant abnormality noted.LYMPH NODES: No frank lymphadenopathy is identified.BONES, SOFT TISSUES: There is a 1.6 x 1.6 cm lesion within the left femoral head which demonstrates sclerotic borders, heterogeneously increased T2 signal, intermediate T1 signal, and enhancement. Elsewhere, bone marrow signal intensity is mildly heterogeneous.OTHER: No significant abnormality noted.
1.Diffuse prostate cancer involving the bilateral peripheral zones with extracapsular extension at the left mid gland without definite associated involvement of the adjacent neurovascular bundle.2.Lesion within the left femoral head, nonspecific but favor benign given imaging characteristics. However, correlation with nuclear medicine bone scan is recommended.