Reason: Elevated PSA, evalaute for Prostate cancer History: see aboveBiopsy 6/17/2014: Right mid small focus of atypical glands, target lesion negative.Biopsy 3/4/2013: Left posterior apex Gleason 6, 1.5 mm.PSA: 2.01 PELVIS:PROSTATE:Prostate Size: 5.0 x 2.5 x 3.6 cmPeripheral Zone: There is a small focus (804/244) of linear low ADC signal and enhancement in the left posterior apex seen previously which is suspected to represent a vessel. In the surrounding left apex peripheral zone, there is a 1.5 x 1.2 cm (1401/1210) region of early enhancement without associated abnormal T2/ADC signal.Central Gland: BPH nodules and urethral thickening.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Focus of early enhancement in the left apex peripheral zone without associated abnormal ADC/T2 signal is indeterminate.