66 years, Male, Reason: evaluate for upcoming biopsy History: Elevated PSA, large prostate. PELVIS:PROSTATE:Prostate Size: 4.6 x 6.0 x 5.0 (AP x TR x SI)Prostate: There is an anterior apical lesion measuring 1.4 x 1.1 cm (604/164) which is low signal on ADC and T2 and enhances. On postcontrast images, there appears to be extracapsular extension from this lesion. An additional lesion in the right apex measures 1.0 x 0.6 cm (604/184) which is also low signal on ADC/T2 and enhances.Multiple heterogeneous lesions are compatible with BPH.Seminal Vesicles: No significant abnormalities.Extracapsular Extension: YesBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Two apical lesions are identified, one of which is in the anterior prostate, that are suspicious for prostate adenocarcinoma. There appears to be extracapsular extension from the anterior lesion.