Reason: elevated PSA, evaluate for prostate cancer (images to be used during biopsy).Additional history per electronic medical record:64-year-old very healthy male with an elevated PSA ranging from 7.8 to 11.6 ng/mL with an elevated prostate health index score, as well as an elevated Select MDx score with normal digital rectal examination. PELVIS:PROSTATE:Prostate Size: 5.4 x 4.2 x 3.9 cm.Peripheral Zone: There are ill-defined scattered areas of decreased ADC/T2 signal within the bilateral peripheral zones without discrete focal lesions. No suspicious areas of early enhancement.Central Gland: Nodules compatible with benign prostatic hypertrophy.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: Not applicable.BLADDER: No significant abnormality noted.LYMPH NODES: A few very small nonspecific pelvic sidewall lymph nodes. No significant lymphadenopathy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Diverticulosis.
Scattered ill-defined areas of low T2/ADC signal within the bilateral peripheral zones which are indeterminant. No focal, discrete lesions are identified.