75-year-old male patient with Gleason 7 prostate cancer and concern for extraprostatic extension. PELVIS:PROSTATE:Prostate Size: 5.1 x 4.7 x 5.6 cmPeripheral Zone: There is a large area of signal abnormality extending from the left base to the left apex which demonstrates T2 hypointensity with moderate to marked corresponding low ADC signal. For example, a region of signal abnormality in the left apex compatible with tumor measures 2.0 x 0.6 cm (image 9, series 801). Furthermore, the overlying capsule appears indistinct within the left apex likely representing extraprostatic extension with questioned invasion of the neurovascular bundle on the left. There is an additional focus of signal abnormality within the left apex suspicious for tumor with questioned invasion into the left seminal vesicle (image 69, series 301)Curvilinear foci of increased T1 signal within the right peripheral zone may be secondary to prior biopsy.Central Gland: There is hyperplasia with BPH nodules. There is curvilinear foci of increased T1 signal within the right central gland which may be secondary to prior biopsy.Seminal Vesicles: As described above.Extracapsular Extension: As described above.BLADDER: No significant abnormality noted.LYMPH NODES: A small left internal iliac lymph node is non-specific. BONES, SOFT TISSUES: Mild asymmetric enhancement of the right hip joint is nonspecific, possibly representing a synovitis.OTHER: No significant abnormality noted.
Tumor within the left peripheral zone with extraprostatic extension and questioned invasion of the left neurovascular bundle and left seminal vesicle.