Reason: Evaluation for prostate cancer. History: Elevated PSA 8.19. Two distant negative prior biopsies. PELVIS:PROSTATE:Prostate Size: 6.2 x 4.8 x 6.0 cmPeripheral Zone: Lesion in the right peripheral zone measuring 7 x 3 mm (703/304) demonstrates hypointensity on T2/ADC with diffusion restriction and early enhancement, suspicious for prostate adenocarcinoma.There is additional patchy low T2 signal throughout the peripheral zone with areas of intermediate to low signal intensity on ADC but without enhancement.Central Gland: Multiple BPH nodules.Seminal Vesicles: No evidence of seminal vesicle invasion.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: Mural hyperenhancement of the sigmoid colon may reflect mild inflammation.
1.Small lesion in the right mid peripheral zone measuring up to 7 mm is suspicious for process adenocarcinoma.2.Additional patchy areas of low T2 signal with intermediate to low ADC and no enhancement may reflect chronic pancreatitis, although neoplasm is also possible.3.No pelvic lymphadenopathy.4.Mural hyperenhancement in the sigmoid colon may reflect mild inflammation.