Male 70 years old Reason: 70 History: PSA 9.6. Gleason 3+ 4 prostate cancer. Positive perineural invasion. PELVIS:PROSTATE: Intrinsic T1 hyperintense signal within the prostate gland consistent with hemorrhage. Prostate Size: 6.6 x 5.3 x 5.4 cm.Peripheral Zone: There is a 1.3 x 1.1 cm of T2 hypointense signal within the left prostatic apex (series 601, image 32) with a suggestion of mild hyper enhancement on postcontrast images. There is no definite correlate on diffusion weighted imaging however this may represent a focus of prostatic carcinoma. Central Gland: Enlarged and heterogeneous.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific mildly prominent bilateral femoral lymph nodes measuring up to 1.0 cm in maximum short axis dimension.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bilateral fat-containing inguinal hernias.
1.Possible focus of prostatic adenocarcinoma in the left prostatic apex. No evidence of extracapsular extension or seminal vesicle invasion.