Elevated PSA for 2 years with 2 negative prostate biopsies. PELVIS:PROSTATE:Prostate Size: 7.3 x 5.9 x 9.3 cmPeripheral Zone: The peripheral zone is diffusely thinned.There is a small focus of T1 weighted hyperintensity in the right paramedial mid gland through apex compatible with hemorrhage.Subcentimeter left apex wedge-shaped T2 weighted hypointensity has no corresponding restricted diffusion or enhancement.No discrete suspicious lesion.Central Gland: Marked enlargement of the central gland due to prostatic hyperplasia. No discrete suspicious lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.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.
No discrete suspicious lesion (dominant lesion). Marked prostatic hyperplasia.