72-year-old male with prostate cancer, PSA 2.1, Gleason 6 on prior biopsy right and left apex. PELVIS:PROSTATE:Prostate Size: 5.4 x 3.5 x 5.2 cm.Peripheral Zone: Focus of T2 hypointensity with corresponding ADC map restriction measuring 6 x 5 mm in the paramedian mid gland peripheral zone abuts the capsule. This focus also represents mild early enhancement. Ill-defined T2 hypointensity in the left mid gland peripheral zone with corresponding focus of restriction on ADC map is nonspecific.Central Gland: Moderate degree of benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No extracapsular extension.BLADDER: Extension of benign prostatic hypertrophy and the base of the bladder.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Focus of T2 hypointensity in the paramedian mid gland peripheral zone is suspicious for malignancy.2.Ill-defined T2 hypointensity in the left mid gland peripheral zone with corresponding focus of vague restriction on ADC map is nonspecific.