Reason: evaluate for possible malignant lesion History: elevated PSA, negative prostate biopsy. PSA to 5.69. PELVIS:PROSTATE:Prostate Size: 5.0 x 4.3 x 4.2 cm.Peripheral Zone: Heterogeneously decreased T2 signal is suggestive of prostatitis. There is a small focus of decreased ADC and T2 signal in the lateral aspect of the left apex/mid gland (series 401, image 52) measuring 5 x 5 mm which is suspicious for neoplasm.Central Gland: Hyperplastic nodules of benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality.Extracapsular Extension: No specific evidence of extra capsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: Normal variant synovial herniation pit left femoral head neck junction.OTHER: No significant abnormality noted.
5 mm focus of signal abnormality in the left apex/mid gland peripheral zone suspicious for neoplasm.