53-year-old man with elevating PSA. PELVIS:PROSTATE:Prostate Size: 38 x 25 mmPeripheral Zone: The peripheral zone is diffusely heterogeneous likely representing prostatitis. There is a large area which is hypointense on T2-weighted images and dark on ADC maps measuring 2 x 0.8 cm on image number 224, series number 703 suspicious for prostate cancer in the anterior prostate. This lesion extends to transition zone and abuts the capsule and extends from the apex to the mid prostate in the anterior prostate. Central Gland: BPH nodules are noted in the central gland bilaterally.Seminal Vesicles: The seminal vesicles appear normal.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: The bladder appears normal.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Large anterior lesion suspicious for carcinoma in the left anterior apex to mid prostate, and area amenable to MR guided biopsy.