History of prostate cancer. 12/21/2015 Right apex lateral 3+4 2mm 10%. PELVIS:PROSTATE:Prostate Size: 3.5 x 5.9 x 5.1 cmPeripheral Zone: Poorly defined T2-weighted hypointense lesion in the right lateral mid-gland/apex (series 901/14) with associated restricted diffusion measuring 8 x 6 mm (series 1004/224). This is contiguous with a 1.4 x 1.1 cm focus of T2-weighted hypointensity and mild restricted diffusion extending towards the base without associated enhancement.Wedge-shaped T2-weighted foci in the right and left apex para-medially are well encapsulated without definite restricted diffusion or post-contrast enhancement.Central Gland: BPHSeminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The right lateral mid gland/apex lesion abuts the prostatic boundary without definite extracapsular extension. BLADDER: No significant abnormality noted.LYMPH NODES: Non-specific 5 mm left pelvic wall lymph node. No enlarged pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
8 mm right mid-gland/apex lesion and 1.4 cm right base lesion are suspicious for prostatic adenocarcinoma. Non-specific T2 weighted hypointense foci in the apex without restricted diffusion or abnormal enhancement.The right base lesion abuts the prostatic margin without definite extraprostatic extension. No enlarged pelvic lymphadenopathy.