68-year-old man with history of elevated PSA of 3.7 in August 2016, 2.5 last year. PELVIS:PROSTATE:Prostate Size: 55 x 45 mmPeripheral Zone: There is a very small focus of decreased T2 signal and abnormal ADC signal in the left apex (801/6 and 508/104) which measures less than 5 mm.Central Gland: Multiple BPH nodules are noted.Seminal Vesicles: There is nonspecific low T2 signal within the seminal vesicles, however there is no mass or lesion.Extracapsular Extension: No extracapsular tumor.BLADDER: The enlarged central gland impresses upon and distorts the bladder.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Very small suspicious focus of signal abnormality in the left apical peripheral zone.2.Markedly enlarged central gland with BPH nodules.