50-year-old male with newly diagnosed prostate cancer. Evaluate.Per pathology:-right base- Prostatic adenocarcinoma, Gleason grade 3+3=6 -right mid- Prostatic adenocarcinoma, Gleason grade 3+4=7 -right apex- Prostatic adenocarcinoma, Gleason grade 3+4=7-right base lateral- Prostatic adenocarcinoma, Gleason grade 3+3=6 -right mid lateral- Prostatic adenocarcinoma, Gleason grade 3+4=7 -right apex lateral- Prostatic adenocarcinoma, Gleason grade 3+3=6 (ISUP grade 1 of 5).-left base lateral- Prostatic adenocarcinoma, Gleason grade 3+3=6 PELVIS:PROSTATE:Prostate Size: 3.1 x 4.5 x 2.6 cmPeripheral Zone: There are several T2 hypointense lesions within the prostate gland with corresponding low ADC signal. The largest lesion in the right mid gland measures 10 x 3 mm (series 801, image 11). The largest lesion in the anterior left mid gland measures 8 x 6 mm (series 301, image 80). These lesions do not demonstrate early enhancement with washout. Additionally lesions in the right base, right apex, and left base.Central Gland: Mildly heterogeneous in appearance.Seminal Vesicles: No seminal vesicle invasion.Extracapsular Extension: No extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: There is a nonspecific right perirectal lymph node measuring 9 x 8 mm (series 1701, image 77).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Suspicious prostatic lesions as detailed without extracapsular extension.2.Nonspecific right perirectal lymph node.