History of elevated PSA and previous negative biopsies. PELVIS:PROSTATE:Prostate Size: 3.7 x 5.3 x 6.0 cm.Peripheral Zone: The peripheral zone is thinned.In the left mid-gland/apex paramedial region there is a focus measuring 7 mm of T2-weighted hypointensity with associated restricted diffusion which may represent a site of prostatic adenocarcinoma.In the left mid-gland paramedial region there is an additional focus measuring 6 mm of abnormal signal intensity. Central Gland: In the anterior apex there is a focus of ill-defined T2-hypointensity with equivocal restricted diffusion and possible early enhancement, amenable to biopsy.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.Suspicious 7 mm left mid gland/apex and a 6 mm left mid gland paramedial foci.2. Anterior apex lesion may represent a BPH nodule, however is amenable to MRI/US fusion biopsy.