50-year-old male with history of prostate cancer. Left apex 3+4. PELVIS:PROSTATE:Prostate Size: 4.5 x 3.0 cmPeripheral Zone: There is a round T2 hypointense lesion with associated restricted diffusion and early enhancement located at the left lateral apex/mid gland measuring 8 x 6 mm (image 14 of series 801). T2 hypointense signal abnormality superficial to this lesion likely represents scarring.There is an additional T2 hypointense focus with associated restricted diffusion in the left anterior apex measuring 9 x 7 mm (image 15 of series 801).Ill-defined T2 hypointense area in the right lateral mid gland measuring 12 x 8 mm with mild restricted diffusion is moderately suspicious.There is linear T2 signal hypointensity located diffusely throughout the peripheral gland likely related to prostatitis or scarring.Central Gland: BPHSeminal Vesicles: No significant abnormality notedExtracapsular Extension: No distinct extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Left lateral apical lesion compatible with patient's known biopsy-proven adenocarcinoma. No evidence of extracapsular extension.2. Additional highly suspicious focus in left anterior apex.3. Right lateral midgland lesion is moderately suspicious. Multiple areas of scarring noted involving bilateral peripheral zones.