Elevated PSA. Additional history per EMR: PSA 4.1 in April of 2015 and it was 4.6 in June of 2015. It has varied between 2.5 and 3.5 over the last few years. No prior biopsy. PELVIS:PROSTATE:Prostate Size: 5.5 x 4.2 cm.Peripheral Zone: There is a 11 x 5 mm focus of decreased T2 and ADC signal demonstrating mild early enhancement, located in the mid to apical medial portion of the right peripheral zone (series 1201, image 12). No evidence of extracapsular extension.Central Gland: Hypertrophy of the median zone is noted. There are few well-defined nodules, some of which demonstrate decreased ADC and enhancement on postcontrast images, though given well-circumscribed morphology with smooth, round margins, would favor benign nodules (series 1201, image 14). Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: Few prominent subcentimeter right external iliac and inguinal lymph nodes are nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
11 mm right peripheral zone lesion suspicious for neoplasm as described above.Benign prostatic hypertrophy with associated nodules.