Elevated PSA, evaluate for disease, had 3 previous negative biopsies, does not want endorectal coil PELVIS:PROSTATE:Gland measures 5.3 cm in transverse dimension x 5.1 cm in AP dimension x 4.8 cm in craniocaudal dimension.Thinning of bilateral peripheral zones, making assessment suboptimal.Severe BPH, with some associated obscuration of left peripheral zone at mid gland and apex.Small scattered foci of T1 hyperintensity likely small postbiopsy hemorrhage.BLADDER: No significant abnormality noted.LYMPH NODES: No enlarged lymph nodes by size criteria.BONES, SOFT TISSUES: Heterogeneous marrow signal.OTHER: Partially imaged right greater than left hydroceles.
Exam performed without endorectal coil. No suspicious lesion identified. Thinning of peripheral zones bilaterally, making assessment suboptimal, severe BPH noted.Heterogeneous marrow signal, likely degenerative in etiology; if there is concern for metastatic disease, please note that evaluation would be more sensitive with dedicated nuclear medicine bone scan.