56-year-old male with elevated PSA who presents for evaluation of the prostate gland. Patient with biopsy in August 20, 2011 which showed benign prostatic tissue. PELVIS:PROSTATE:Prostate Size: 5.0 x 3.0 x 3.9 cmPeripheral Zone: There are multiple lesions in the peripheral zone which demonstrate T2 hypointensity with corresponding low ADC signal; these lesions are stable compared to the previous examination. For example, the left lateral peripheral zone lesion from approximately 1 to 3:00 position is unchanged and measures 1.3 x 0.5 cm (series 801, image 13).Central Gland: There is a lesion in the right transitional zone which demonstrates T2 hypointensity with corresponding low ADC signal and early enhancement with washout; this lesion is slightly increased in size compared to the previous examination and measures 1.5 x 1.5 cm (series 801, image 10).Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right transitional zone lesion is slightly increased in size compared to the previous examination with signal characteristics as above. This may represent stromal benign prostatic hypertrophy but prostatic adenocarcinoma cannot be excluded.2.Multiple stable peripheral zone lesions with abnormal signal suspicious for prostate carcinoma.