Elevated PSA and prostate nodule. No prostate biopsy results available. PELVIS:PROSTATE:Prostate Size: 2.8 x 5.2 x 4.3 cmPeripheral Zone: There is a 1.4 x 1.2 cm lesion in the right lateral mid-gland demonstrating low T2-weighted signal intensity (series 1301/17), restricted diffusion (series 1404/264) and with early enhancement , suspicious for adenocarcinoma. Additional 6 mm lesion of abnormal T2 weighted hypointensity with restricted diffusion (series 1404/244, series 1301/17) in the left lateral mid-gland.4-5 mm T2-weighted hypointense foci in the left lateral apex and left lateral base (series 1301/13 and 19). Right medial apex lesion measuring 5 mm (series 1404/144). Central Gland: No significant abnormality noted.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The dominant right mid gland lesion has a broad base of abutment with the capsule which is mildly bulged in appearance.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multiple suspicious foci in the peripheral zone as described above with a 1.3 cm dominant lesion in the right lateral mid gland with broad-based involvement of the capsule which is mildly bulging, but no definite extraprostatic extension.2.No pelvic lymphadenopathy.