Elevated PSA. PELVIS:PROSTATE:Prostate Size: 4.7 x 5.5 x 4.4 cmPeripheral Zone: In the left mid gland to apex there is a wedge-shaped region of T2 weighted hypointensity measuring 1.4 x 1.2 cm (series 901/12) which is associated with restricted diffusion (series 704/184) and arterial enhancement.Central Gland: 5 mm well-defined focus of restricted diffusion (series 704/284) with associated T2-weighted hypointensity in the left mid-gland transition zone may represent a BPH nodule and less likely a small focus of prostatic adenocarcinoma. Benign prostatic hyperplasia.Seminal Vesicles: No evidence of seminal vesicle invasion. Left seminal vesicle T2-weighted hypointensity may be post-treatment related.Extracapsular Extension: No evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.4 cm lesion in the left mid gland to apex may reflect a site of prostatic adenocarcinoma. Additional non-specific left mid-gland 5 mm focus may represent a small focus of carcinoma verus a BPH nodule.No evidence of seminal vesicle invasion, extraprostatic extension or pelvic lymphadenopathy.