55-year-old male with elevated PSA. PELVIS:PROSTATE:Prostate Size: 4.4 x 2.6 x 3.5 cm (TR x AP x CC)Peripheral Zone: There is a focus of decreased T2 signal abnormality with apparent restricted diffusion in the right posterior mid body of the peripheral zone of the prostate gland. However, there is no convincing abnormal enhancement on the dynamic contrast enhanced sequences. These findings are indeterminant, however, prostate carcinoma is not excluded.Seminal Vesicles: No evidence of extension to involve the seminal vesicles.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: Mild concentric thickening of the wall of the bladder suggestive of chronic outlet obstruction.LYMPH NODES: No evidence of lymphadenopathy.BONES, SOFT TISSUES: No bone marrow signal abnormality is identified.OTHER: No significant abnormality noted.
Focus of signal abnormality in the right posterior mid body of the peripheral zone of the prostate gland with indeterminate imaging characteristics. Prostate carcinoma is not completely excluded. These findings were discussed directly with the patient.