64-year-old male with rising PSA. Evaluate prostate gland. PELVIS:PROSTATE:Prostate Size: 3.4 x 4.7 x 3.0 cmPeripheral Zone: At the junction of the right peripheral and transitional zone, there is an ill-defined T2 hypointense lesion measuring approximately 3.4 x 1.5 cm (series 401, image 13) in the mid gland to apex; this is only well-visualized in the coronal plane without corresponding ADC abnormality or contrast enhancement.Central Gland: Nodular appearance of the central gland most compatible with benign prostatic hypertrophy.Seminal Vesicles: Seminal vesicles are unremarkable bilaterally.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.
At the junction of the right peripheral and transitional zone in lower mid gland, there is an ill-defined lesion which is only well seen in the coronal plane, without corresponding ADC or postcontrast enhancement. Although, this lesion does not show classic imaging characteristics, carcinoma is not excluded. No other suspicious lesion delineated.