Male 78 years old Reason: elevated PSA- now with increasing velocity History: elevated PSA- now with increasing velocity. PELVIS:PROSTATE:Prostate Size: 4.3 x 4.8 x 2.9 cm.Peripheral Zone: The peripheral zone is heterogeneous and demonstrates ill-defined diffuse mildly T2 hypointense signal, more marked posteriorly and along the left side. This may represent underlying prostatitis. There is a small focus of abnormal T2 hypointense signal in the left mid gland and posterior laterally which is dark on ADC map and measures 0.5 x 0.4 cm (series 701, image 19). This is dark on the ADC map. This is suspicious for a focus of prostatic carcinoma.Central Gland: Enlarged and heterogeneous.Seminal Vesicles: No significant abnormality.Extracapsular Extension: No significant abnormality.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Subcentimeter focus of signal abnormality within the left peripheral zone in the mid gland which is suspicious for a focus of prostatic carcinoma.2.Diffuse mildly T2 hypointense signal throughout the peripheral zone which raises the possibility of background prostatitis.