73-year-old male. Elevated PSA, negative prostate biopsy x 2. Evaluate for prostate tumor. EPIC history: PSA ranging from 4.1 to 6.85 ng/mL. PELVIS:PROSTATE:Prostate Size: 3.8 x 5.1 x 5.5 cm.Peripheral Zone: No suspicious lesions.Central Gland: 1.5 x 2.4 cm T2 hypointense lesion with associated diffusion restriction and early enhancement in the apex of the prostate in the transitional zone, immediately anterior to the urethra, consistent with prostate cancer (series 704, image 104). Central gland hypertrophy.Seminal Vesicles: No evidence of invasion.Extracapsular Extension: The mass is confluent with the anterior prostatic capsule with extracapsular extension on the right (series 1001, image 8).BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Large transitional zone lesion in the apex consistent with prostate cancer. There is extracapsular extension on the right anteriorly.