64-year-old male patient with elevated PSA. Biopsy from 2/4/2010 demonstrated focus suspicious for carcinoma within the left medial base. PELVIS:PROSTATE:Prostate Size: 6.3 x 4.1 x 5.5 cm.Peripheral Zone: There is a region of signal abnormality within the right peripheral zone extending from the right base to the right mid gland which demonstrates T2 hypointensity with mild to moderate corresponding ADC hypointensity. For example, a region of signal abnormality within the right mid gland measures 1.4 x 0.6 cm (image 65, series 401). Additionally there is a focus of signal abnormality within the anterior left mid gland/apex with T2 hypointensity and mild ADC hypointensity measuring 0.3 x 0.7 cm (image 57, series 401). These regions are suspicious for tumor.Central Gland: Central gland is hyperplastic with BPH nodules.Seminal Vesicles: No definite involvement.Extracapsular Extension: No definite extraprostatic extension.BLADDER: No significant abnormality noted.LYMPH NODES: There is a prominent left internal iliac lymph node which is non-specific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Regions of signal abnormality within the bilateral peripheral zones as above suspicious for tumor without evidence of extraprostatic extension.