54-year-old male with elevated PSA. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.7 x 3.4 x 4.7 cm.Peripheral Zone: A small (0.5 x 0.3 cm) focus of T2 and ADC hypointensity in the midline mid gland (series 501 image 73, series 608 image 244) is identified. Linear peripheral zone decreased T2 signal intensity is not felt to represent neoplasm.Central Gland: A well-defined symmetric T2 and ADC hypointense focus in the anterior midline transitional zone (series 901 image 13, series 608 image 204) measuring 1.2 x 0.6 cm could represent an additional focus of malignancy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Small focus of T2 and ADC hypointensity in the midline mid gland and additional well-defined T2 and ADC hypointense focus in the anterior midline transitional zone are concerning for malignancy. Both lesions are amendable to biopsy as needed.