64 year old male. History of Gleason 3+3=6 prostate cancer on active surveillance, with growing nodule. PELVIS:PROSTATE:Prostate Size: 2.7 x 4.7 x 3.9 cmPeripheral Zone: Diffuse heterogeneity of the peripheral zone. 2 x 3 mm T2 hypointense lesion that diffusion restricts and shows early enhancement in the medial left base is suspicious for prostate carcinoma (series 1001, image 13). Central Gland: Central gland hypertrophy.Seminal Vesicles: No invasion.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: Prominent distal external iliac lymph nodes, likely reactive.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
2 x 3 mm lesion in the medial left base suspicious for prostate cancer. 