History of prostate cancer. 3+3 right mid medial, 3+3 right Apex medial dated 6/25/2013. PELVIS:PROSTATE:Prostate Size: 2.8 x 5.3 x 5.0 cmPeripheral Zone: No discrete T2-weighted hypointense or restricting lesion to suggest neoplasm. Non-specific linear foci of T2-weighted and ADC hypointensity.Central Gland: There is a large T2 hypointense lesion in the transition zone extending from the apex to the base with abnormal restricted diffusion and avid enhancement with washout. The lesion is best delineated on the restricted diffusion images were measures 2.0 x 2.6 cm (series 604/284). Using similar measurement technique the lesion previously measured 1.7 x 2.6 cm (series 902/324). The lesion appears to extend into a prominent median lobe.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The lesion bulges the anterior margin of the prostate.BLADDER: No significant abnormality noted.LYMPH NODES: Small nonspecific external iliac lymph nodes measuring less than 1 cm in short axis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Large transition zone lesion has not demonstrated significant interval change. Carcinoma cannot be ruled out. This lesion would be amenable to MRI/TRUS fusion biopsy.