63-year-old man with history of suspicious mass concerning for prostate malignancy. Additional history as per chart: Last PSA of 8 ng/mL, biopsy on 10/8/2015 with Gleason 7 adenocarcinoma. PELVIS:PROSTATE:Prostate Size: 48 x 31 mm.Peripheral Zone: There is poorly defined, diffusely low T2 signal in the peripheral zone which limits the lesion detection. No abnormalities are seen on the ADC map. However, on the high B value images (series 509, image 220) the entire right lobe of the prostate gland demonstrates restriction. Additionally, there is a small focus of restriction in the mid/apical left lobe (series 509, image 180).Central Gland: No significant abnormality noted.Seminal Vesicles: The seminal vesicles appear normal.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: The bladder is normal.LYMPH NODES: Small fat-containing inguinal lymph nodes are present, but no suspicious lymphadenopathy is seen.BONES, SOFT TISSUES: Fat-containing hernias are noted.OTHER: No significant abnormality noted.
1.Abnormal signal involving the entire right prostate gland which, when correlated with the biopsy results, is thought to represent infiltrating tumor.2.No evidence of extracapsular extension or regional lymphadenopathy.