History of prostate cancer. 2014 biopsy demonstrated 3+4 disease in the right lateral apex. PELVIS:PROSTATE:Prostate Size: 3.3 x 5.0 x 5.3 cm.Peripheral Zone: Postbiopsy changes in the peripheral zone which is relatively thinned. No dominant lesion in the peripheral zone is evident.Central Gland: Extensive changes of benign prostatic hyperplasia. Within the left mid gland extending to the apex there is a 1.4 cm ill-defined T2 weighted hypointense region with dystrophic diffusion which may represent a site of prostatic carcinoma versus a BPH nodule.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No 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.
1.4 cm focus within the left mid gland extending to the apex may reflect a site of prostatic carcinoma versus a BPH nodule. This is amenable to MRI/ultrasound fusion biopsy.