45-year-old male with history of prostate cancer status post focal laser ablation. PROSTATE:Prostate Size: 4.6 x 3.1 x 2.6 cm, TR x AP x CCPeripheral Zone: There is a focal enhancing lesion in the left apex which demonstrates low T2 and ADC signal and measures 1.3 x 0.6 cm (series 703, image 144). T2 hyperintense post-ablation changes are noted within the right base and mid gland.Central Gland: Prostatic hypertrophy without focal lesion. Please see measurements above.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: Enhancing lesion in the left apex abuts and appears to extend past the prostatic capsule, most pronounced on post-contrast images. BLADDER: No significant abnormality noted.LYMPH NODES: No suspicious pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Enhancing, T2 hypointense lesion in the left apex that appears to abut/extend across the capsule. Findings are suspicious for neoplasm at this site. 2.Post-ablation changes in the right base as described above. 