59-year-old male with elevated PSA, prior negative biopsy. PELVIS:PROSTATE:Prostate Size: 5.1 x 5.7 x 4.5 cm.Peripheral Zone: Midline utricle cyst measuring 8 x 8 mm (series 901, image 17). Linear T2 hypointensity throughout the peripheral zone may reflect the background of chronic prostatitis. There is a 1.2 x 1.3 cm T2 hypointense focus in the right base peripheral zone (series 901 image 17) with corresponding restricted diffusion (series 608 image 284).Central Gland: Severe degree benign prostatic hypertrophy. 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 right peripheral zone base measuring 1.2 x 1.3 cm, best characterized as PI-RADS 4.