Male 61 years old with elevated PSA and 2 prior negative biopsies. PELVIS:PROSTATE:Prostate Size: 4.9 x 6.0 x 6.0 cmPeripheral Zone: There is a 9 x 6 mm lesion (series 301, image 64) in the left base and a 5 x 4 mm lesion (series 301, image 66) in the right base. These lesions are dark on T2 and ADC and demonstrate early contrast enhancement and are suspicious for prostate carcinoma.Central Gland: Multiple large BPH nodules are noted.Seminal Vesicles: The left seminal vesicle is collapsed. The right seminal vesicle is unremarkable.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Diffuse diverticulosis and wall thickening of the the sigmoid colon.
Small peripheral zone lesions in the prostate base bilaterally are suspicious for prostate carcinoma.