42-year-old male with elevated PSA. No prior biopsies. PELVIS:PROSTATE:Prostate Size: 3.7 x 4.3 x 2.0 cm.Peripheral Zone: Diffuse heterogeneous streaky T2 signal throughout the peripheral zone is compatible with prostatitis which lowers the sensitivity for the detection of prostate cancer. There is a 5 x 4 mm T2 hypointense focus in the right peripheral zone base with corresponding restricted diffusion in early arterial enhancement.Central Gland: No significant abnormality.Seminal Vesicles: No significant abnormality.Extracapsular Extension: No extracapsular extension is present.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: In the left inguinal canal is a peripherally enhancing T1 hypointense T2 hyperintense collection measuring 1.8 x 1.6 cm with punctate susceptibility artifact.OTHER: No significant abnormality noted.
1.Findings compatible with prostatitis which lowers the sensitivity for the detection of prostate cancer.2.T2 hypointense focus in the right peripheral zone base with corresponding restricted diffusion and early arterial enhancement suspicious for malignancy.3.Postsurgical appearance in the left inguinal canal with peripherally enhancing fluid collection as described above.