History of 1 cm right-sided prostate nodule on digital rectal examination. PSA most recently 1.69 ng/mL. The patient is seeking a second opinion regarding recommendation for MRI fusion biopsy. PELVIS:PROSTATE:Prostate Size: 4.7 x 3.6 x 4.7 cm.Peripheral Zone: There is diffusely decreased T2 signal within the peripheral zone which somewhat limits evaluation and may be related to prostatitis. There is an area of decreased T2 and ADC signal within the right mid gland (series 23, image 18) measuring 1.1 x 0.6 cm which demonstrates mildly increased early enhancement. There is an additional questionable focus of decreased T2 and ADC signal within the left mid gland (series 23, image 16).Central Gland: Multiple nodules of varying signal intensity on T2-weighted imaging consistent with benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality.Extracapsular Extension: The aforementioned signal abnormality in the right peripheral zone mid gland is associated with mild bulging of the capsule (23/18), raising the possibility of extraprostatic extension. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small fat-containing umbilical hernia. Moderate left hydrocele.
1.Area of signal abnormality within the right peripheral zone mid gland suspicious for neoplasm, with possible extraprostatic extension.2.Additional, smaller area of signal abnormality within the left peripheral zone mid gland may also reflect neoplasm.