Elevated PSA, evaluate for target lesion PELVIS:PROSTATE:Prostate Size: 3.3 x 5.3 x 3.5 cm (AP x TR x CC).Peripheral Zone: 10 x 10 mm well-circumscribed nodular focus of heterogeneous T2 signal near junction of transition zone and peripheral zone (series 1101, image 19), likely a partially exophytic BPH nodule. Central Gland: Benign prostatic hyperplasia. Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific perirectal lymph node measuring up to 1.3 cm (was 2001, image 132).BONES, SOFT TISSUES: No significant abnormality noted.
1.Nodular focus of T2 signal abnormality near junction of transition zone and peripheral zone at the right base, indeterminate but a BPH nodule is favored. No other suspicious prostatic focus seen otherwise. 2. Prominent perirectal lymph nodes are nonspecific given the patient's history of ulcerative colitis, favored to be reactive. 