History of elevated PSA.Additional history per electronic medical record:TRUS 3/14/2014, performed for PSA 3.5.3 cores of Gleason 6 prostate cancer totalling 7 mm. This included four mm at the right mid, two mm at the rightapex and one mm at the left space. PELVIS:PROSTATE:Prostate Size: 2.3 x 4.4 x 3.5 cm.Peripheral Zone: There is a focus of decreased T2 and ADC signal within the left apex (series 501, image 52) measuring 7 x 7 mm which is suspicious for neoplasm. There is an additional focus of decreased T2 and ADC signal within the right apex (series 501, image 52) measuring 7 x 15 mm which is also suspicious for neoplasm.Central Gland: No significant abnormality noted.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No definite evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Signal abnormality within the bilateral peripheral zone apices suspicious for neoplasm, please see discussion above.