Male 67 years old Reason: rule out prostate cancer History: elevated PSA, rising, previous negative prostate biopsy PELVIS:PROSTATE:Prostate Size: 5.2 x 3.5 x 4.8 cmPeripheral Zone: The bilateral posterior peripheral zones demonstrate hazy T2 hypointense signal at the mid gland/base. This demonstrates diffusion restriction and hyperenhancement on postcontrast images. This is somewhat wedge-shaped in configuration and due to the diffuse nature the appearance favors prostatitis.Central Gland: Heterogeneous.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Diffuse T2 hypointense signal within the posterior peripheral zone as described above. The appearance favors prostatitis. It is conceivable that a small focus of prostatic adenocarcinoma could be concealed within this diffuse signal hypointensity.