Male 69 years old currently on active surveillance for low grade prostate carcinoma. Evaluate for tumor. A prostate biopsy on 11/28/2016 revealed a Gleason 3+3=6 in one of ten cores, 1% of submitted tissue. PELVIS:PROSTATE:Prostate Size: 5.0 x 3.5 x 4.2 cmPeripheral Zone: History there is diffuse T1 hyperintensity compatible with postbiopsy hemorrhage. There is a wedged shaped region of T2 hypointensity in the left lateral apex without associated contrast enhancement or ADC hypointensity. No additional areas of signal abnormality are noted.Central Gland: Benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Postsurgical changes are seen along the anterior pelvic wall.
1.Low suspicion wedge shaped area of T2 hypointensity in the left lateral apex. PIRADS 2.2.No lesion suspicious for prostate adenocarcinoma.PI-RADS™ v2 Assessment Categories:PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 – Low (clinically significant cancer is unlikely to be present)PIRADS 3 – Intermediate (the presence of clinically significant cancer is equivocal)PIRADS 4 – High (clinically significant cancer is likely to be present) PIRADS 5 – Very high (clinically significant cancer is highly likely to be present)https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/PIRADS/PIRADS%20V2.pdf