68-year-old male with elevated PSA (5.3 in September 2016). PELVIS:PROSTATE:Prostate Size: 5.3 x 3.3 x 4.5 cm.Peripheral Zone: Linear T2 hypointense appearance throughout the peripheral zone limits the evaluation and could represent a background of chronic prostatitis. At least 2 rounded discrete foci of T2 and ADC hypointense foci measuring up to 4 mm are also identified in the left anterior-lateral peripheral zone (series 508 image 224, series 901 image 13). Central Gland: In the mid gland anterior transitional zone, there is a 1.5 x 1.3 cm T2 and ADC hypointense focus suspicious for a dominant lesion (series 508 image 224, series 901 image 14). This lesion extends to the anterior fibromuscular stroma and slightly crosses the midline to the left.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dominant lesion in the anterior transitional zone measuring 1.5 x 1.3 cm, best characterized as PI-RADS 5.2.Additional rounded discrete foci of T2 hypointense signal also noted in the left anterolateral peripheral zone, suspicious for additional neoplastic foci.