77-year-old male with history of prostate cancer. Evaluate for disease. Fusion biopsy to follow. Biopsy with Gleason 3+3 in right base lateral, Gleason 3+3 in left mid medial, Gleason 3+3 in left mid lateral. PELVIS:PROSTATE:Prostate Size: The prostate measures 7.7 cm in transverse, 6.1 cm in AP, and 7.4 cm in craniocaudal length.Peripheral Zone: Thin rim of peripheral zone parenchyma. In the right lateral mid gland, there is a 0.6 cm focus of T2 and ADC hypointense signal (series 301 image 80, series 508 image 24) touching the prostate capsule.In the right paramedian mid gland, there is a 0.8 cm ADC hypointense focus (series 508 image 344). However, correlation on the T2 sequence is nonspecific.Central Gland: Marked multinodular appearance of BPH. On the ADC sequence, there are multiple central gland hypointense foci that are difficult to confirm on the T2 sequence and remain indeterminate.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: Trabeculated bladder related to chronic bladder outlet obstruction.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dominant lesion in the peripheral right mid gland measuring up to 0.6 cm.2.Trabeculated bladder related to chronic bladder outlet obstruction from severe BPH.