52 year old male patient with complaints of nocturia, 2-3 times at night, and elevated PSA. PELVIS:PROSTATE:Prostate Size: 5.1 x 3.3 x 3.8 cm.Peripheral Zone: There is a 6 x 3 mm focus of T2 hypointensity with corresponding mildly decreased ADC values within the left mid gland (image 43, series 301). An additional foci of T2 hypointensity with mild ADC hypointensity within the right apex is also identified.Central Gland: The central gland is hypertrophied with 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.
Two small sites of signal abnormality within the right apex and left mid gland of the peripheral zone are indeterminate for tumor. 