Elevated PSA. PELVIS:PROSTATE:Prostate Size: 4.4 x 5.8 x 5.1 cm (series 1101/15 and series 503/77)Peripheral Zone: Left peripheral zone mid gland paramedian lesion measuring 1.0 x 0.8 x 1.4 cm (series 1101/12 and series 1201/20) which is hypointense on T2-weighted imaging sequences, demonstrates restricted diffusion and early enhancement suspicious for prostate cancer.At the same level more laterally there is a 4 mm hypointense T2-weighted focus (series 1101/12) with subtle restricted diffusion suspicious for prostate cancer.Towards the apex in the right peripheral zone mid gland there is a 6 x 3 mm (series 1101/10) T2-weighted hypointense focus without definite restricted diffusion, equivocal for prostate cancer.Central Gland: Changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The left peripheral zone mid gland lesion abuts the fibromuscular stroma laterally without clear extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific subcentimeter mesorectal fascial lymph nodes are noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left peripheral zone mid gland paramedian 1.4 cm lesion suspicious for prostate cancer.Suspected 4 mm focus of prostate cancer in the posterolateral left peripheral zone mid-gland.Equivocal 6 x 3 mm focus in the right peripheral zone mid-gland.