Prostate cancer. Elevated PSA. EPIC history: G 3 + 3 disease right mid gland. PSA 3.9 10/2014. PELVIS:PROSTATE: Prostate Size: 5.4 x 4.1 x 4.2 (TR x AP x CC) Peripheral Zone: Heterogeneous T2 hypointensity of the peripheral zone with increased enhancement suggestive of prostatitis, unchanged. This limits evaluation for focal lesions. Scattered nonspecific subcentimeter ADC hypointense foci in the right mid/apex of the peripheral zone are unchanged. Central Gland: Well defined heterogeneous nodules consistent with benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No evidence of extracapsular extension. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Mild inflammatory changes in the muscles lateral to the left acetabulum, unchanged. OTHER: No significant abnormality noted.
Scattered nonspecific ADC hypointense foci in the right mid/apex peripheral zone of the prostate, unchanged. No evidence of extraprostatic extension or local metastatic disease.