History of intermediate risk prostate cancer. Pathology dated 1/21/2016 showed left mid, 3+4 cancer less than 1 mm 5%, left lateral mid 3+4 4-mm 65%, left lateral base 4+ 3 0.5 mm 15%. PELVIS:PROSTATE:Prostate Size: 4.6 x 6.2 x 6.0 cmPeripheral Zone: The left peripheral zone is thinned.Right mid gland medial 6 x 5 mm lesion demonstrating T2 weighted hypointensity (series 601/12) with restricted diffusion (series 704/224).Mid-gland paramedial lesion measuring 7 mm with restricted diffusion (series 704/284). Left mid-gland medial lesion with restricted diffusion (series 704/324), measuring 1.1 x 0.4 cm. This lesion abuts the prostatic margin without frank extra capsular extension.Central Gland: BPHSeminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No definite evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymphadenopathy.BONES, SOFT TISSUES: Degenerative changes of the pubic symphysis. Degenerative changes of the left sacroiliac joint.OTHER: No significant abnormality noted.
Subcentimeter lesions involving the right mid gland, left mid-gland and paramedial mid-gland are suspicious for multifocal prostatic adenocarcinoma without extraprostatic extension or enlarged pelvic lymphadenopathy.