63-year-old male with elevated PSA and 2 negative presents for evaluation of the prostate gland. PELVIS:PROSTATE:Prostate Size: 5.3 x 4.4 cmPeripheral Zone: The peripheral zone is heterogeneous in appearance. There is a focus in the mid gland posteriorly which demonstrates T2 hypointensity, corresponding low signal on ADC, and enhancement measuring 11 x 5 mm. Additionally, there is a small focus of hypointensity in the left mid gland anteriorly and centrally which measures approximately 12 x 5 mm with the aforementioned signal characteristics.Central Gland: Central gland is heterogeneous in appearance, consistent with benign prostatic hypertrophy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Increased T2 signal in the right hamstring tendon consistent with tendinopathy. Degenerative changes about the visualized spine.
1.Two foci in the prostate gland suspicious for neoplasm as detailed above.2.Findings consistent with right hamstring tendinopathy.