Male 61 years old Reason: screening for prostate cancer History: elevated PSA, negative TRUS biopsy Feb 2014 PELVIS:PROSTATE:Prostate Size: The prostate gland measures 6.3 x 4.5 x 5.8 cm.Peripheral Zone: There is a 0.4 x 0.3 cm focus of hypointense T2 signal which is dark on ADC map (series 804, image 144). This is located at the apex in the midline posteriorly and is suspicious for a small focus of prostatic adenocarcinoma. A rounded area of T2 hypointense signal projecting into the right peripheral zone at the base appears to arise from the central zone and may represent an area of benign prostatic hypertrophy. Intrinsic T1 hyperintensity throughout the left peripheral zone suggestive of hemorrhage.Central Gland: Enlarged and heterogeneous.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No evidence of 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.The prostate gland is enlarged. Tiny focus of signal abnormality at the apex in the midline posteriorly is suspicious for a small focus of prostatic adenocarcinoma.