81 years, Male, Reason: staging exam History: high grade prostate cancer newly diagnosed. PELVIS:PROSTATE:Prostate Size: 4.9 x 2.8 x 3.1 cmPeripheral Zone: There is a large lesion extending from the right base to apex (501/14) with low signal on ADC/T2 which extends beyond the posterior capsule and invades the right neurovascular bundle. Increased T1 signal in the left peripheral zone likely represents hemorrhage from prior biopsy.Central Gland: Heterogeneous lesions in the central gland likely represent benign prostatic hypertrophy.Seminal Vesicles: No involvement.Extracapsular Extension: Right posterior extracapsular extension into the right neurovascular bundle.BLADDER: No significant abnormality noted.LYMPH NODES: No lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large right peripheral zone lesion extending from the right base to apex with extracapsular extension into the right neurovascular bundle.2.No lymphadenopathy.