Male 65 years old Reason: Evaluate for possible prostate tumor History: elevated PSA , previous negative biopsies. PELVIS:PROSTATE:Prostate Size: 5.2 x 2.9 x 3.9 cmPeripheral Zone: The peripheral zone demonstrates diffusely abnormal T2 hypointense signal, left greater than right with hyperenhancement. The findings are suspicious for diffuse prostatitis. There is a subcentimeter focus of abnormal T2 hypointense signal which is dark on the ADC map in the right posterior paracentral peripheral zone at the base. This measures 0.4 x 0.4 cm (series 601, image 20) and is suspicious for a focus of prostatic adenocarcinoma.Central Gland: Heterogeneous.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No extraprostatic 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.Subcentimeter focus of signal abnormality in the right posterior peripheral zone at the base which is suspicious for a focus of prostatic carcinoma. This is on a background of diffuse prostatitis.