63 years, Male, Reason: hx of elevated PSA, and previous negative prostate biopsies, please evaluate, prostate biopsy to follow History: see above. PELVIS:PROSTATE:Prostate Size: 5.0 x 4.7 x 4.6 cmPeripheral Zone: There is a lesion in the left apex which is dark on ADC/T2 measuring 0.9 x 1.8 cm (704/84), suspicious for prostatic adenocarcinoma. A focus of low ADC signal posterior to this lesion (704/104) likely represents a draining vein.Central Gland: Multiple heterogeneous nodules suggests benign prostatic hypertrophy.Seminal Vesicles: No involvement.Extracapsular Extension: No extracapsular extensionBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left apical lesion is suspicious for prostatic adenocarcinoma.2.No lymphadenopathy.