Elevated PSA. PELVIS:PROSTATE:Prostate Size: 5.9 x 6.8 x 8.0 cm.Peripheral Zone: No discrete suspicious focus.Central Gland: Extensive changes of BPH.0.9 x 1.0 cm mid gland medial focus is very low signal intensity on T2-weighted imaging with restricted diffusion (series 1201/19).1.3 x 1.1 cm apex medial focus with low signal intensity on T2-weighted imaging ill-defined margins, restricted diffusion and early arterial enhancement with washout (series 1201/13).1.7 x 0.8 cm apex left lateral focus with ill-defined low signal intensity in T2-weighted sequences and restricted diffusion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of 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.
1.Three foci in the transition zone demonstrating low signal intensity in T2-weighted imaging and restricted diffusion may reflect sites of prostatic carcinoma. Alternatively, these may reflect BPH nodules.2.After discussing the findings with the patient the patient agreed to undergo an MR guided biopsy of these lesions.