History of elevated PSA with prior negative biopsies. Evaluate for targetable lesion. PELVIS:PROSTATE:Prostate Size: 1.2 x 5.2 x 3.7 cm (AP by transverse by CC)Peripheral Zone: There is patchy mildly decreased T2 signal throughout the peripheral zone possibly reflecting prostatitis. No focal discrete lesion is evident.Central Gland: The central gland is normal in appearance for patient's age.Seminal Vesicles: Mild prominence of the seminal vesicles, but no focal pathology.Extracapsular Extension: NoneBLADDER: No significant abnormality noted.LYMPH NODES: No pelvic or inguinal lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is thickening and hyperenhancement of the sigmoid colon with heterogeneous enhancement extending into the pericolonic soft tissues. This is incompletely evaluated as it is seen only on the large field-of-view images, but is suspicious for diverticulitis.
1.No focal prostatic lesion to indicate primary malignancy. Patchy areas of minimally decreased signal in the peripheral zone may represent prostatitis.2.Incompletely evaluated thickening and hyperenhancement of the proximal sigmoid colon and adjacent soft tissues as described. This may reflect diverticulitis, but further evaluation with dedicated imaging is recommended.