51-year-old male with elevated PSA (5.91 in 5/2016). Evaluate for prostate cancer. Biopsy showed Gleason 3+3 in left mid (<5%, <1mm), left apex (<5%, <1mm). PELVIS:PROSTATE:Prostate Size: The prostate measures 4.3 cm in transverse, 2.6 cm in AP, and 3.8 cm in craniocaudal diameter.Peripheral Zone: Nonspecific linear T2 hypointense appearance throughout the peripheral zone.Central Gland: In the anterior apex central gland, there is a 1 x 0.6 cm ADC hypointense focus (series 708 image 244) with ill-defined margins and is likely invading the left urethral wall. Early contrast enhancement and washout is noted on the postcontrast series.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
In the left anterior apex, there is a 1 x 0.6 cm suspicious lesion likely invading the left urethral wall.