55-year-old male with a history of elevated PSA and small volume Gleason 3+ 3 prostate cancer, evaluate for disease. Prostate biopsy to follow. PELVIS:PROSTATE:Prostate Size: 5.0 x 3.5 x 3.3 cm (TR x AP x CC)Peripheral Zone: There is a 10 x 4 mm focus of decreased T2 signal abnormality in the right paramedian base of the peripheral zone of the prostate gland with associated restricted diffusion and equivocal enhancement on dynamic contrast-enhanced sequences, suspicious for prostate carcinoma (image 23; series 801). No additional foci of signal abnormality are identified.There is an additional focus of decreased T2 signal abnormality with associated restricted diffusion which is also suspicious for prostate carcinoma (series 604; image 224). Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No lymphadenopathy.BONES, SOFT TISSUES: Heterogeneous bone marrow signal abnormality is nonspecific, but can be seen in anemia or other myeloproliferative disorders.OTHER: No significant abnormality noted.
Foci of signal abnormality in the posterior right paramedian base and posterior left apex of the peripheral zone of the prostate gland, which are suspicious for prostate carcinoma.