Elevated PSA. Total PSA of 6.12. No prior biopsy. PELVIS:PROSTATE:Prostate Size: 4.4 x 5.5 x 6.9 cmPeripheral Zone: Left apex 5 x 4 mm T2 weighted hypointense focus with restricted diffusion.Left mid gland 6 mm T2 hypointense focus with restricted diffusion and arterial enhancement.Central Gland: Anterior 8 x 7 mm T2 weighted hypointense focus with restricted diffusion and arterial enhancement.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Non-specific subcentimeter left obturator lymph node.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left and anterior apex and left mid gland foci, largest measuring 8 mm, may represent sites of prostate carcinoma and are amenable to MR guided biopsy. 