67-year-old man with history of prostate cancer. Additional history as per chart: Biopsy on 8/24/2015 identified Gleason 3+4 disease, last PSA of 4.8 PELVIS:PROSTATE:Prostate Size: 44 x 32 mmPeripheral Zone: In the right anterior prostatic base (series 601, image 87) there is an area of low T2 and ADC map signal measuring 28 x 12 mm. This lesion extends into the transition zone and anterior fibromuscular stroma.A second lesion in the left mid/apex of the prostate (series 601, image 67) has low T2 and ADC map signal with enhancement measuring 13 x 8 mm.A third lesion in the left prostatic base (series 601, image 92) also has low T2 and ADC map signal measuring 8 x 7 mm.T1 hyperintensity in the left peripheral zone is suggestive of postbiopsy hemorrhage.Central Gland: No significant abnormality noted.Seminal Vesicles: Possible small tumoral invasion of the anterior inferior portion of the right seminal vesicle (series 603, image 93).Extracapsular Extension: Extracapsular extension suggested on the let side and with tumor abutting the neurovascular bundle.BLADDER: The bladder appears normal.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: Bilateral hip prostheses noted.OTHER: No significant abnormality noted.
Multifocal prostate cancer described above with possible involvement of the right seminal vesicle and left neurovascular bundle.