Male 51 years old Reason: prostate cancer History: prostate cancer PELVIS:PROSTATE:Prostate Size: The prostate gland measures 5.6 x 2.7 x 4.6 cm. Peripheral Zone: Signal abnormality throughout the peripheral zone is suspicious for tumor interspersed with hemorrhage. There is a dominant focus of signal abnormality in the left peripheral zone extending from the apex to the base. This measures approximately 2.0 x 1.6 cm in the mid gland (series 701, image 16). There is a second dominant focus of signal abnormality within the anterior prostate. This right paracentral anterior prostate lesion measures 1.6 x 1.1 cm (series 701, image 15). Additional subcentimeter foci are identified in the peripheral zone, for example the right peripheral zone (series 701, image 14).Central Gland: Heterogeneous.Seminal Vesicles: There is suspicion for seminal vesicle invasion particularly on the left side. Extracapsular Extension: At the level of the described mid gland lesion there is suspicion for extracapsular extension. This is in the region of the neurovascular bundle and neurovascular invasion is suspected.BLADDER: No significant abnormality noted.LYMPH NODES: At least two enlarged left common iliac chain lymph nodes are identified. The largest measures 1.4 x 1.2 cm (series 801, image 15). Multiple nonspecific prominent inguinal lymph nodes are identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multifocal prostatic carcinoma with dominant lesions in the left peripheral zone at the midline and within the anterior prostate as described. There is suspicion for extracapsular extension, seminal vesicle invasion and nodal involvement. 