67-year-old male with elevated PSA. PELVIS:PROSTATE:Prostate Size: The prostate measures 5.2 cm in transverse, 3.7 cm in AP, and 4.8 cm in craniocaudal diameter.Peripheral Zone: In the right mid gland to apex, there is a small focus of T2 and ADC hypointensity (axial series 704 image 184). No focal contrast enhancement in this region is identified.Central Gland: Nodular hypertrophic appearance.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Nonspecific enhancing focus in the right ilium (axial series 1401 image 136).OTHER: No significant abnormality noted.
1.Suspicious lesion in the right mid gland to apex.2.Nonspecific enhancing focus in the left iliac bone. A nuclear medicine bone scan is recommended for further evaluation.