61-year-old male with history of elevated PSA. Evaluate for targetable lesion. Biopsy to follow on a different day. PSA 8.1 from October 2015. TRUS biopsy negative from November 2015. Most recent PSA was 12.2 from October 2016. PELVIS:PROSTATE:Prostate Size: The prostate measures 5 cm in transverse, 3.9 cm in AP, and 5.4 cm in craniocaudal diameter.Peripheral Zone: In the left lateral mid gland, a 0.9 x 0.5 cm T2 and ADC hypointense focus is indeterminate due to the wedge-shaped appearance and ill-defined borders (series 401 image 55, series 503 image 264).Central Gland: Enlarged transitional zone causing an impression on the base of the urinary bladder.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Posttraumatic deformity of the right femoral head/neck.OTHER: No significant abnormality noted.
In the left lateral mid gland, a 0.9 x 0.5 cm T2 and ADC hypointense focus is indeterminate due to the wedge-shaped appearance and ill-defined borders. Lesion can be mapped for Uronav as clinically indicated.