History of prostate cancer. March 9, 2016 Bx showed multiple cores of prostate cancer, including Gleason 3+4=7 at the right mid lateral and right base lateral, encompassing 15% to 45% of the individual cores. He also was found to have Gleason 6 prostate cancer at the left base lateral, left mid lateral, left apex lateral, and left base, encompassing 8% to 13% of the cores. PELVIS:PROSTATE:Prostate Size: 4.8 x 5.5 x 5.5 cmPeripheral Zone: The peripheral zone is diffusely thinned with linear T2 hypointensity.Dominant right lesion in the right paramedian mid gland measuring 1.1 x 1.0 cm on restricted diffusion (series 703/284) with subtle decrease in T2 weighted signal intensity and mild arterial enhancement.Dominant left apex lesion measures 1.8 x 1.0 cm on restricted diffusion (series 703/124) with mild decrease in T2 weighted signal intensity and mild arterial enhancement.In the left mid gland peripheral zone there is a wedge shaped peripheral T2 hypointensity with mild associated restricted diffusion.Central Gland: Marked BPH without a discrete lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No specific evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings compatible with patient's known multifocal prostatic adenocarcinoma with dominant bilateral lesions described above. No specific evidence of extraprostatic extension.