66-year-old male patient with elevated prostate specific antigen. Evaluate for prostate cancer. PELVIS:PROSTATE:Prostate Size: 4.7 x 3.7 x 3.8 cm (transverse by AP by craniocaudal).Peripheral Zone: There is a region of signal abnormality within the left base of the peripheral zone demonstrating T2 and ADC hypointensity measuring approximately 1.0 x 0.4 cm (image 18, series 501). This is on a background of rather diffuse, linear T2 hypointensity within the left base and left mid gland of the peripheral zone which may reflect prostatitis or scarring.There is an additional focus of T2 hypointensity, ADC hypointensity, and early enhancement within the medial anterior right apex of the peripheral zone measuring 0.5 x 0.4 cm (image 13, series 501), which is suspicious for tumor.Central Gland: The central gland is hyperplastic containing multiple BPH nodules.Seminal Vesicles: No definite involvement.Extracapsular Extension: No definite extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Two sites of signal abnormality within the right apex and left base suspicious for tumor. 2. No definite extraprostatic extension.