Prostate cancer, evaluate for disease, biopsy to follow PELVIS:PROSTATE:Prostate Size: 5 cm in transverse dimension x 3.4 cm in AP dimension x 4.8 cm in craniocaudal dimension. Prostate: Bilateral lesions suspicious for prostate adenocarcinoma visualized:Largest focus seen in left mid gland with 1.9 x 1.3 cm peripheral zone T2 hypointense/low ADC signal lesion visualized, abnormal signal extends to towards apex as well.Another focus demonstrating similar imaging characteristics seen in right mid gland peripheral zone measuring 0.6 x 0.6 cm. More superiorly towards base in the right peripheral zone is another T2 hypointense lesion measuring 0.8 x 0.6 cm with more intermediate dark ADC signal, also suspicious. Extracapsular extension suggested.Additional low ADC/T2 hypointense signal suspicious lesion seen in transition zone in lower mid gland towards apex, measures approximately 1.1 x 1 cm, image 13 series 901.Small amount of postbiopsy hemorrhage.Seminal Vesicles: No significant abnormality noted. BLADDER: No significant abnormality noted.LYMPH NODES: No pathologically enlarged lymph nodes.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings suspicious for multifocal prostatic adenocarcinoma as above.