53-year-old male with elevated PSA PELVIS:PROSTATE:Prostate Size: 3.8 x 4.8 x 3.8 cm.Peripheral Zone: There is a T2 hypointense lesion with corresponding restricted diffusion in the apex of the left peripheral zone measuring 6 x 7 mm. (Series 501, image 78)There is a 4 x 3 mm T2 hypointense focus with corresponding restricted diffusion in the right mid gland peripheral zone (series 1001, image 18).A prostatic utricle cyst is noted in the midline measuring 7 x 7 x 12 mm.Central Gland: In the region of the anterior fibromuscular stroma is asymmetric enlargement with mild increased signal on DWI and patchy early arterial enhancement suspicious for an anterior tumor. There is a prominent venous plexus just anterior to this region.Moderate degree benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: The left mid gland peripheral zone lesion described above abuts but does not extend through the capsule.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Focus suspicious for an anterior prostate tumor as described above.2.Left peripheral zone apex lesion suspicious for malignancy.3.Right mid gland peripheral zone lesion suspicious for malignancy.