Elevated PSA, evaluate for Prostate cancer. PELVIS:PROSTATE:Prostate Size: 3.1 x 4.7 x 4.5 cmPeripheral Zone: In the right mid gland peripheral zone there is a small subtle focus demonstrating T2 weighted hypointensity (series 401/67) with associated restricted diffusion (series 503/2 44) that measures 5 x 4 mm. There is a band of hypointensity in the anterior prostate involving the anterior fibromuscular stroma which shows avid enhancement on postcontrast and restricted diffusion. Otherwise the peripheral zone is atrophic. Central Gland: Hypertrophied central gland without any suspicious nodule.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No definite evidence of extracapsular extensionBLADDER: No significant abnormality noted.LYMPH NODES: Small nonspecific external iliac lymph nodes are noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Highly suspicious right mid gland peripheral zone and anterior prostate lesions.2. Nonspecific small external iliac lymph nodes.