46-year-old male with history of prostate cancer who presents for prostate MRI. PELVIS:PROSTATE:Prostate Size: 3.7 x 4.2 x 2.5 cmPeripheral Zone: There is a T2 hypointense lesion measuring 1.0 x 0.8 cm (series 1001, image 16) in the right base with corresponding low ADC signal and contrast enhancement. There is probable extracapsular extension. This lesion also abuts the right seminal vesicle and invasion cannot be excluded.An additional subcentimeter T2 hypointense lesion with corresponding low ADC signal in the left base (series 1001, image 15).Central Gland: No significant abnormality.Seminal Vesicles: As detailed above.Extracapsular Extension: Probably extracapsular extension from the right base lesion.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with prostate cancer in the right base with extracapsular extension and abutment of the right seminal vesicle with invasion not excluded.2.Suspicious subcentimeter left base lesion.