Elevated PSA. Previous negative biopsy. PELVIS:PROSTATE:Prostate Size: 2.8 x 4.4 x 4.5 cmPeripheral Zone: No suspicious focus of T2 weighted hypointensity or restricted diffusion.Central Gland: Centered within the anterior mid gland transitional zone and extending into the anterior fibromuscular stroma and left anterior peripheral zone is a poorly defined 2.2 x 1.3 cm (series 801/16) lesion demonstrating T2 weighted hypointensity, restricted diffusion and early arterial enhancement. The lesion abuts and bulges the anterior capsule. Indeterminate right lateral base T2 weighted hypointense focus measuring 6 x 6 mm (series 1/20) without restricted diffusion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The anterior mid gland lesion abuts and bulges the anterior capsule.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Suspicious 2.2 cm anterior mid gland lesion bulging the anterior capsule.2. Indeterminate 6 x 6 right lateral base focus.