63 years, Male, Reason: right PSA with previously negative previous biopsy History:. PELVIS:PROSTATE:Prostate Size: 6.2 x 3.9 x 4.4 cmPeripheral Zone: Lesion in the right base with low T2/ADC signal and noncontributory enhancement characteristics measuring 1.6 x 1.1 cm (804/284) is suspicious for prostatic adenocarcinoma. This lesion abuts the seminal vesicles without definite invasion.There is a lesion in the left base with low T2/ADC signal and noncontributory enhancement characteristics measuring 1.3 x 1.0 cm which is also suspicious for prostatic adenocarcinoma, lesion again extends to the seminal vesicle level.Central Gland: Lesion in the left anterior mid gland with low ADC signal and ill-defined margins on T2 weighted images raises suspicion for an additional focus of prostatic adenocarcinoma.Additional well-circumscribed heterogeneous nodules throughout the central gland likely reflect benign prostatic hypertrophySeminal Vesicles: Abutment as above.Extracapsular Extension: No definite extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Enlarged right external iliac node measuring 1.3 x 1.0 cm (1501/38). Prominent inguinal nodes.BONES, SOFT TISSUES: Heterogeneous marrow signal.
1. Lesions in the right and left base peripheral zones are suspicious for prostatic adenocarcinoma. There is an additional lesion in the left anterior mid gland central zone which is also suspicious.2. Enlarged right pelvic lymph node, nonspecific but metastatic disease not excluded.3. Heterogeneous marrow signal.