55 years, Male, rising PSA, negative biopsy PELVIS:PROSTATE:Prostate Size: 5.4 x 3.5 x 4.0 cmPeripheral Zone: Lesion in the left mid gland peripheral zone measuring 5 x 4 mm (801/19) has low signal on ADC/T2 with early enhancement, suspicious for prostate adenocarcinoma. Region in the right peripheral zone mid gland measuring 7 x 3 mm (604/284) with low signal on ADC is suspicious for prostate adenocarcinoma. A well-circumscribed hypodense lesion in the left base most likely represents BPH nodule.Central Gland: No significant abnormality noted.Seminal Vesicles: No involvementExtracapsular Extension: No evidence of extension.BLADDER: No significant abnormality noted.LYMPH NODES: No lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Two subcentimeter lesions in the mid gland peripheral zone are suspicious for prostate adenocarcinoma. These would be amenable for MR guided biopsy.