52-year-old male with history of prostate cancer who presents for MRI evaluation. PELVIS:PROSTATE:Prostate Size: 3.9 x 5.4 x 3.4 cmPeripheral Zone: The entire right peripheral zone is asymmetrically atrophied and demonstrates diffuse T2 hypointensity, diffusion restriction, and early enhancement. This is felt to be focal atrophy and prostatitis. Superimposed on the aforementioned findings, there is a subcentimeter lesion in the right apex (series 1004, image 164) which measures 9 x 4 mm.There is a T2 hypointense focus in the anterior apex which may be the transition zone given delayed contrast enhancement.Central Gland: Central gland is nodular and heterogeneous compatible with benign prostatic hypertrophy.Seminal Vesicles: No evidence of extension into the seminal vesicles.Extracapsular Extension: No 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.
Findings as detailed above are felt to be a combination of focal right peripheral zone atrophy and prostatitis with superimposed suspicious subcentimeter right apex lesion.