53-year-old male with history of prostate cancer. Left lateral mid 3+3, left lateral apex 3+3, left apex 3+3, right lateral gland 3+4. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.1 x 2.6 cm.Peripheral Zone: Right base lateral T2 hypointense lesion with corresponding decreased ADC measures 15 x 10 mm. Additional similarly appearing focus at the left base measures 6 x 5 mm.Central Gland: BPH.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: There is extra capsular extension of the right base lesion with possible neurovascular invasion.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent external iliac nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Right base peripheral lesion with extracapsular extension and possible neurovascular invasion. Additional smaller focus in the left base also suspicious for carcinoma.