52-year-old male with newly diagnosed prostate carcinoma. Staging examination. PELVIS:PROSTATE:Prostate Size: 5.1 x 2.6 x 3.3 cm (TR x AP x CC)Peripheral Zone: Note is made of multiple foci of increased T1 signal abnormality in the peripheral zone of the prostate gland, consistent with postbiopsy hemorrhage.There are multiple bilateral foci of decreased T2 signal abnormality with associated restricted diffusion which is suspicious for multifocal prostate adenocarcinoma. The largest focus of signal abnormality is located in the left apex anteriorly, measuring 11 x 5 mm (image 6; series 1001). There is no definite extracapsular extension or neurovascular bundle involvement.Seminal Vesicles: No convincing evidence of seminal vesicle involvement.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple foci of decreased signal abnormality are identified within the peripheral zone of the prostate gland, bilaterally, which are suspicious for prostate carcinoma. There is no convincing evidence of extracapsular extension. 