History of prostate cancer scheduled for robotic-assisted laparoscopic prostatectomy. Evaluate for nerve sparing approach. PELVIS:PROSTATE:Prostate Size: 3.1 x 4.7 x 4.4 cm.Peripheral Zone: There is a left para medial lesion centered in the mid gland with extension into the apex and base measuring up to 1.6 x 1.0 cm in cross-section demonstrating restricted diffusion (series 603/284) and low T2-weighted signal intensity (series 401/69). The lesion extends approximately 2.4 cm in the craniocaudal dimension (series 501/20)Central Gland: Mild changes of benign prostatic hyperplasia. Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The left peripheral zone lesion has a broad base of abutment with the prostatic margin with bulging at the apex (series 901/15) and suspected nodular extra-prostatic extension (series 401/62). BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Large left peripheral zone lesion with broad-based abutment with the prostatic margin with suspected extracapsular extension near the left neurovascular bundle. No enlarged pelvic lymphadenopathy is identified.