58-year-old male with history of prostate cancer. PSA 3.4 with Gleason grade of 7. PELVIS:PROSTATE:Prostate Size: 2.1 x 3.9 cm. Signal intensity: Note is made of multiple foci of low T2 signal abnormality in the peripheral zone of the prostate gland. There is a 6 x 5 mm, focus of low T2 signal abnormality in the left base of the prostate gland with associated restricted diffusion and contrast enhancement, consistent with the patient's known history of prostate carcinoma. Additionally, note is made of multiple additional foci of low T2 signal abnormality in the right base are as well as the left apex. There is associated enhancement consistent with multiple additional foci of prostate carcinoma.Seminal Vesicles: Normal appearance.Extracapsular Extension: No evidence of extracapsular extension. There is no bulging of the capsule identified.BLADDER: There is diffuse wall thickening of the bladder, which is nonspecific, but may be related to chronic outlet obstruction.LYMPH NODES: No evidence of lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Multiple foci of signal abnormality involving the left base, the left apex, and right base of the prostate gland, which are consistent with the patient's known history of multifocal prostate carcinoma. There is no evidence to suggest extracapsular extension or invasion of the neurovascular bundle. 