70 year old male patient with history of elevated PSA, negative biopsy in 2013, and gross hematuria. Evaluate for prostate tumor, pending biopsy. PELVIS:PROSTATE:Prostate Size: 7.2 x 5.1 x 6.8 cm. Peripheral Zone: The peripheral zone is thinned secondary to an enlarged central gland. There are linear areas of T2 hypointensity and mild ADC hypointensity within the right mid-gland (image 15, series 501) and left mid-gland (image 16, series 501) which are indeterminate. Central Gland: The central gland is hyperplastic with BPH nodules. Confined with the anterior and left apical central gland, there is a 1.1 x 2.2 cm region of T2 hypointensity and ADC hypointensity which demonstrates early enhancement; this is suspicious for tumor. Furthermore, this lesion appears to abut the prostatic urethra. Seminal Vesicles: No definite involvement.Extracapsular Extension: No definite extraprostatic 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.Signal abnormality confined to the left central gland which is suspicious for tumor.2.Linear signal abnormality within the mid-gland of the peripheral zone bilaterally which is indeterminate.