Reason: Evaluate for prostate lesion for biopsy History: Elevated PSA for years and multiple negative prostate biopsy x 2. History of RCC. PELVIS:PROSTATE:Prostate Size: 5.5 x 3.6 x 3.9 cmPeripheral Zone: Lesion in the left apex measuring 1.0 x 0.5 cm (6 1/14) with low ADC/T2 and questionable early enhancement is suspicious for prostatic adenocarcinoma. Lesion within the midline peripheral zone at the base with low ADC/T2 does not demonstrate enhancement (601/23) and is of low suspicion.Central Gland: BPH nodules.Seminal Vesicles: No seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Subcentimeter right external iliac node.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Left apex lesion is suspicious for prostatic adenocarcinoma.2.No pelvic lymphadenopathy