59-year-old male with elevated PSA PELVIS:PROSTATE:Prostate Size: 6.3 x 4.2 x 4.9 cm.Peripheral Zone: There is a 9 x 3 mm T2 hypointense focus with corresponding restricted diffusion in the midline peripheral zone base. An adjacent 5 mm hypointense focus in the contralateral right paramedian peripheral zone base may be contiguous with this lesion. Additional 4 mm focus in the right peripheral zone base with apparent corresponding restricted diffusion is noted.Central Gland: Moderate to severe degree benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: Not present.BLADDER: No significant abnormality noted.LYMPH NODES: There is a 5 mm right external iliac lymph node. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Suspicious lesion in the midline peripheral zone base with extension to the contralateral right paramedian peripheral zone is amenable to biopsy.2.Additional 4 mm focus in the right peripheral zone base.