History of rising PSA. Evaluate for prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.4 x 5.6 x 4.2 cm (AP by transverse by CC)Peripheral Zone: Within the posterior mid to superior aspect of the left peripheral zone there is confluent low T2 signal with associated restricted diffusion and early arterial enhancement extending to both the internal and peripheral capsule compatible with tumor. This measures 1.5 x 1.1 cm the axial plane. No extracapsular extension is evident.Central Gland: There is marked hypertrophy of the central gland with cystic changes compatible with benign prostatic hypertrophy. There is a focus of low T2 signal and restricted diffusion in the anterolateral right aspect of the central zone which measures 1.3 x 1.3 cm in axial dimension. On the postcontrast images however this does not demonstrate early arterial enhancement and is therefore likely a hyperplastic nodule.Seminal Vesicles: The seminal vesicles are unremarkable. No evidence of tumor involvement.Extracapsular Extension: NoneBLADDER: The bladder wall appears diffusely thickened and trabeculated compatible with chronic outlet obstruction.LYMPH NODES: There are multiple mildly prominent bilateral external iliac as well as retroperitoneal lymph nodes which are not pathologically enlarged by size criteria.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.1.5 x 1.1 cm focus of abnormal signal within the left posterior peripheral zone compatible with tumor. No evidence of extracapsular extension. No pathologic lymphadenopathy within the visualized abdomen.2.Central zone findings of benign prostatic hypertrophy with associated bladder wall thickening suggestive chronic urinary tract outflow obstruction.