Male 63 years old with elevated PSA and negative biopsies. Target potential lesions. PELVIS:PROSTATE:Prostate Size: 4.9 x 3.2 x 4.2 cmPeripheral Zone: There is a 6 x 4 mm lesion in the right mid gland (series 301, image 64) that is dark on T2 and ADC and demonstrates contrast enhancement suspicious for prostate adenocarcinoma. Additional areas in the right base and left mid gland are also suspicious for adenocarcinoma.Central Gland: Multiple BPH nodules.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Small left pelvic lymph nodes are nonspecific (series 1401, images 87 and 92).BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Note is made of a 8 x 5 mm utricle cyst.
Multiple foci in the transitional zone are suspicious for prostate adenocarcinoma.