Elevated PSA. Evaluate for prostate cancer. PELVIS:PROSTATE:Prostate Size: 2.8 x 5.1 x 4.5 cmPeripheral Zone: 6 x 4 mm lesion in the right medial mid gland/apex demonstrating decreased T2 weighted signal intensity (series 601/95), decreased ADC (series 503/364) and avid early enhancement (series 1 501/1 448).Additional punctate 4 mm focus in the medial apex demonstrates decreased ADC and T2 weighted signal abnormality (series 503/304).Central Gland: Mild changes of benign prostatic hyperplasia without a discrete suspicious lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The right medial mid gland/apex lesion has a broad base of abutment with haziness and mild bulging of the capsule. There is a equivocal enhancement just outside the prostatic margin.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.6 x 4 mm right medial mid gland/apex peripheral zone lesion is suspicious for prostatic adenocarcinoma with suspected local extraprostatic extension.2.No pelvic lymphadenopathy.