69-year-old male with a history of elevated PSA and previous negative prostate biopsy. Please evaluate. Biopsy to follow. PELVIS:PROSTATE: There is a focus of equivocal decreased T2 signal abnormality with apparent restricted diffusion and enhancement in the left posterior apex of the peripheral zone of the prostate gland (image 29; series 601). No additional foci of convincing T2 signal abnormality are identified. Prostate Size: 5.2 x 3.7 cm.Seminal Vesicles: No evidence of seminal vesicle involvement.Extracapsular Extension: No evidence of extracapsular extension or capsular bulge.BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Equivocal focus of T2 signal abnormality in the left posterior apex of the peripheral zone of the prostate gland suspicious for prostate adenocarcinoma. 