Male 49 years old with prostate cancer. Biopsy showed Gleason grade 6 or 7 adenocarcinoma in every biopsy core. PELVIS:PROSTATE:Prostate Size: 4.2 x 2.9 cmPeripheral Zone: There are multiple T2 hypointense lesions involving the peripheral zone bilaterally. The dominant lesion is in the left peripheral zone extending from the apex to the base measuring 1.5 x 0.7 cm (series 801, image 13). It abuts the capsule in the left mid gland, extracapsular extension is possible. This lesion has diffusion restriction, is dark on ADC and demonstrates early enhancement.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality.Extracapsular Extension: The dominant lesion in the left peripheral zone abuts the capsule in the left mid gland, extracapsular extension is possible.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Extensive lesion in the left peripheral zone is consistent with prostate carcinoma. The lesion abuts the capsule and extracapsular extension is possible. There are additional small lesion in the right gland. There is no evidence of seminal vesicle disease.