70-year-old male with elevated PSA. Biopsy is in the left medial base showed atypical small acinar proliferation adjacent to high-grade prostatic intraepithelial lesion with immuno staining concerning for carcinoma. Other biopsy sites were negative for carcinoma. PELVIS:PROSTATE:Prostate Size: 5.0 x 3.1 x 4.1 cmPeripheral Zone: There is nodular thickening (versus BPH nodule extension) of the surgical pseudocapsule demarcating the transition and peripheral zones on the right but no suspicious lesion. A feathery appearance of the peripheral zone may be related to sequelae of prostatitis.Central Gland: Multiple BPH nodules are noted.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Atherosclerotic calcifications involving partially imaged common iliac arteries.
Multiple BPH nodules. No suspicious prostate lesion.