History of elevated PSA with a negative prostate biopsy. PELVIS:PROSTATE:Prostate Size: 5.7 x 6.4 x 7.7 cmPeripheral Zone: There is asymmetric atrophy and scarring of the left peripheral zone with contiguous small wedge-shaped linear scar-like foci. No suspicious T2-weighted lesion, restricted diffusion or arterial enhancement. Central Gland: Marked central gland enlargement with numerous well-defined nodules compatible with BPH.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific 7 mm right obturator lymph node. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No discrete suspicious lesion with asymmetric left peripheral zone atrophy and scarring seen. Marked BPH. 