74-year-old male with history of prostate cancer. PELVIS:PROSTATE:Prostate Size: 3.8 x 5.4 x 5.5 cm.Peripheral Zone: Mild T1 hyperintensity bilaterally due to hemorrhage. Low T2 signal lesion with restricted diffusion extending from the right posterolateral base to the inferior mid gland, compatible with prostate cancer and measuring up to 8 x 9 mm (series 604/384). An additional, smaller low T2 signal lesion with restricted diffusion at the left apex is compatible with prostate cancer and measures up to 6 x 9 mm (series 501/57).Central Gland: Heterogeneous.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: Both above-described lesions abut the capsule and may have slight extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No pathologically enlarged lymph nodes by size criteria.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Two lesions most compatible with prostate cancer, as detailed above. Both lesions abut the capsule and may have slight extracapsular extension.