Elevated PSA, evaluate for Prostate cancer. PELVIS:PROSTATE:Prostate Size: 5.2 x 6.2 x 5.3 cmPeripheral Zone: Peripheral zone is fairly homogeneous without definite focal lesion.Central Gland: Hypertrophied central gland with likely hypertrophic nodules. One of the nodules in the right mid gland is fairly round circumscribed that is dark on T2-weighted sequence (image 22, series 601) measuring 1.3 x 1.1 cm with restricted diffusion (image 244, series 704) ; however favor a BPH nodule over malignancy.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No definite evidence of extracapsular extensionBLADDER: No significant abnormality noted.LYMPH NODES: Small nonspecific external iliac lymph nodes are noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No suspicious lesion in the peripheral zone.2.Central gland hypertrophy with a dominant nodule in the right mid gland, favor BPH nodule over malignancy.