Elevated PSA. PELVIS:PROSTATE:Prostate Size: IsPeripheral Zone: In the left paramedian region, there is a 1.5 x 0.5 cm T2 hypointense focus (axial series 401 image 82). The margins have a more linear appearance rather than convex.A faintly T2 hypointense focus in the left apex (axial series 601 image 9) is felt to be artifactual due to its linear appearance in the corresponding coronal location (series 501 image 14).Central Gland: Nodular appearance compatible with BPH.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: There is nonspecific T2 hyperintense signal within the left pectineus muscle (axial series 1301 image 52).OTHER: Small fat-containing left inguinal hernia.
1.Despite the absence of the convex margins, a 1.5 x 0.5 cm T2 hypointense focus in the left paramedian region is concerning for malignancy in the context of elevated PSA.2.Benign prostatic hypertrophy.3.Nonspecific increased T2 signal intensity within the right pectineus muscle could represent strain/injury versus tendinopathy. Correlate with patient's clinical history and symptoms.