64-year-old male with low risk prostate cancer. Assess for extent of disease.Additional history per EMR: March 2015 PSA 6.88, biopsy confirmed prostate cancer. Most recent PSA 6.92. cT1c, Gleason score 3+3, 6/12 cores. PELVIS:PROSTATE:Prostate Size: 4.5 x 3.1 cm.Peripheral Zone: There are multiple T2/ADC hypointense lesions in the left and right mid gland peripheral zone (series 801, images 17 and 18) with possible associated enhancement. These may represent foci of patient's known prostatic malignancy. There is no evidence of neurovascular bundle invasion or extracapsular extension.Central Gland: Multiple T2/ADC signal hypointense nodules, the largest of which measures 9 x 6 mm in the left mid gland. None demonstrate definite abnormal contrast enhancement and their morphology favors benign etiology. Seminal Vesicles: Seminal vesicles are unremarkable.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Several peripheral zone lesions with findings suggestive of patient's known prostatic malignancy. No evidence of neurovascular bundle invasion or extracapsular extension.