Prostate neoplasm. Plan to biopsy. PSA of 9.77 ng/ml. Right and left Gleason 6. PELVIS:PROSTATE:Prostate Size: The prostate measures 5.2 x 2.9 cm.Peripheral Zone: Within the mid gland, there is a 0.8 x 0.7 cm T2 hypointense lesion with restricted diffusion (series 1001, image 50), but no definite contrast enhancement, suspicious for carcinoma. Within the right mid gland there is T1 and T2 hyperintense signal, compatible with blood products.Central Gland: The central gland is nodular in appearance, compatible with benign prostatic hyperplasia.Seminal Vesicles: There is no seminal vesicle invasion.Extracapsular Extension: Questionable extracapsular extension is present.BLADDER: No significant abnormality noted.LYMPH NODES: Few subcentimeter external iliac lymph nodes are identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left mid gland peripheral lesion suspicious for carcinoma. Questionable extracapsular extension.