History of elevated PSA. PELVIS:PROSTATE:Prostate Size: 3.5 x 4.7 x 4.2 cmPeripheral Zone: No discrete suspicious lesion is seen within the peripheral zone.Central Gland: In the transition zone at the apex there is a ill-defined T2 hypointense focus measuring 1.2 x 1.2 cm (series 701/10) with associated restricted diffusion (series 1103/36) suspicious for prostatic adenocarcinoma.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged pelvic lymphadenopathy is evident.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Approximately 1.2 cm lesion in the transition zone of the apex is suspicious for prostatic adenocarcinoma and is amenable to MRI/Ultrasound fusion biopsy.