55 years, Male, rising PSA PELVIS:PROSTATE:Prostate Size: 6.5 x 4.2 x 3.4 cmPeripheral Zone: Focus of low ADC/T2 signal with early enhancement in the mid gland, left peripheral zone, immediately left of midline measures 6 x 4 mm (801/13) suspicious for adenocarcinoma.Additional focus of low ADC/T2 signal without early enhancement in the left apex measuring 10 x 9 mm (801/9) is also suspicious for adenocarcinoma.There are multiple ill-defined areas of low ADC/T2 signal in the left peripheral zone extending from the mid gland to base which are suspicious for adenocarcinoma.Central Gland: Heterogeneous and enlarged nodules within median lobe protruding into the bladder, suggestive of benign prostatic hypertrophy.Seminal Vesicles: No involvement.Extracapsular Extension: NoneBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left peripheral zone lesion in the mid gland suspicious for adenocarcinoma.2.Left apical lesion suspicious for adenocarcinoma.3.Ill-defined signal in the left peripheral zone extending from the mid gland to the base are also suspicious for adenocarcinoma.4.The above lesions lesions would be amenable for MRI guided biopsy.