History of elevated PSA and negative prior transrectal ultrasound-guided biopsy. PELVIS:PROSTATE:Prostate Size: 4.4 x 6.0 x 6.1 cm.Peripheral Zone: In the right base there is a subtle punctate 4mm T2-weighted hypointensity with restricted diffusion (series 604/404 and series 1101/12)Central Gland: Changes of BPH.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Right base signal abnormality may reflect a site of prostate carcinoma. The findings were discussed with the patient and he agreed to have a same-day MRI guided biopsy of this abnormality for tissue diagnosis. 