History of prostate cancer. Evaluate for high risk features. Left base medial and lateral 3+4 disease. Left mid gland 3+4 disease. PELVIS:PROSTATE:Prostate Size: 5.9 x 3.2 x 4.3 cmPeripheral Zone: Diffuse patchy intrinsic T1 weighted signal hyperintensity in the peripheral zone related to proteinaceous/hemorrhagic products likely related to recent biopsy. This limits evaluation of the peripheral zone.In the left base extending into the left seminal vesicle there is a region of restricted diffusion measuring 2.0 x 1.5 cm (series 603/424) associated with decreased T2 weighted signal intensity (series 1001/23) and marked relative hyperenhancement (series 1 601/2 252).6 mm focus of restricted diffusion (series 603/3 64) in the right lateral mid gland with associated low T2 weighted signal intensity (series 901/19).Central Gland: Changes of benign prostatic hyperplasia.Seminal Vesicles: There is abnormal signal extending into the left seminal vesicle including postcontrast enhancement compatible with seminal vesicle invasion.Extracapsular Extension: The left base lesion is broadly based and there is spiculated enhancement beyond the capsule margin (series 1601/2572).BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Dominant lesion in the left base measuring up to 2.0 x 1.5 cm with findings most compatible with seminal vesicle invasion and extracapsular extension. No enlarged pelvic lymphadenopathy evident.Additional suspicious focus in the lateral right mid gland measuring 6 mm.