68 years, Male, Reason: Please assess prostate cancer History: Gleason 7, PSA 10, palpable disease. PELVIS:PROSTATE:Prostate Size: 6.1 x 4.1 x 4.6 cmPeripheral Zone:Intrinsic T1 signal is compatible with hemorrhage, likely from prior biopsy.There is a lesion in right peripheral zone measuring 2.4 x 1.0 cm (601/14) which extends from the right mid prostate to base and has low signal on T2/ADC and early enhancement, suspicious for prosthetic adenocarcinoma. There is a small focus of extracapsular extension posteriorly. There is no involvement of the seminal vesicle.There is a separate focus in the left apex with low signal on ADC/T2 without enhancement, also suspicious for adenocarcinomaCentral Gland: Heterogeneity likely reflects benign prosthetic hypertrophy.Seminal Vesicles: No involvement identified.Extracapsular Extension: Small focus of extracapsular extension along the right posterior capsule adjacent to the tumor.BLADDER: No significant abnormality noted.LYMPH NODES: Subcentimeter left common iliac node.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right peripheral zone lesion in the mid prostate and base with signal characteristics suspicious for adenocarcinoma and a small focus of extracapsular extension.2.Additional smaller lesion in the left apex is also suspicious for prostatic adenocarcinoma.