Elevated PSA. Previous PIN on biopsy. PELVIS:PROSTATE:Prostate Size: 5.1 x 4.9 x 4.0 cm.Peripheral Zone: Within the left peripheral zone mid gland to apex there is a geographic area of increased T1 signal compatible with hemorrhage from prior biopsy. Within the posterior mid gland in the midline there is 11 x 6 mm area of decreased T2 signal and associated restricted diffusion. However, there is now associated enhancement of this is felt to reflect prominent central zone fibrous tissue. The remaining peripheral zone has heterogeneous low T2 signal, but no focal masslike lesion.Central Gland: Marked nodularity related to benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No definite foci of malignancy based on imaging criteria. There is signal abnormality surrounding the central zone as described above that is felt to most likely be benign, however if targeted biopsy is being performed, this area can be considered.