56-year-old male with history of prostate cancer. Evaluate for high risk features.Pathology report:Prostate, right base; needle biopsy: High grade prostatic intraepithelial neoplasia (PIN) with adjacent atypical glands suspicious for carcinoma.Prostate, left base; needle biopsy: High grade prostatic intraepithelial neoplasia (PIN). Prostate, right mid; needle biopsy: Prostatic adenocarcinoma, Gleason score 6 (3+3), less than 1.0 mm focus.Prostate, right mid lateral; needle biopsy: High grade prostatic intraepithelial neoplasia (PIN). PELVIS:PROSTATE:Prostate Size: 4.8 x 2.8 x 4.0 centimetersPeripheral Zone: Scattered foci of T1 hyperintensity most compatible with hemorrhage from previous biopsy. Abnormal T2 hypointensity with corresponding low signal on ADC in the following regions concerning for adenocarcinoma:Right apex measuring 1.2 x 0.8 cm (series 1001, image 12). This lesion is amenable to MRI guided biopsy.Left mid gland measuring 0.7 x 0.6 cm (series 1001, image 15).Additionally, there is an ill-defined subcentimeter right mid gland lesion (series 1001, image 18) which may represent hypoplasia versus adenocarcinoma.Central Gland: Central gland is heterogeneous in appearance consistent with benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Two suspicious foci in the right apex and left mid gland concerning for adenocarcinoma. The right apex lesion is amenable to MRI guided biopsy. 2.Right mid gland ill-defined focus may represent stromal hyperplasia versus adenocarcinoma. 3.No evidence of seminal vesicle or extracapsular extension.