57-year-old male with history of elevated PSA. PELVIS:PROSTATE:Prostate Size: 3.4 x 5.6 x 4.3 cmPeripheral Zone: In the left mid gland, there is a suspicious rounded 1.6 x 1.2 cm focus (axial series 1001 image 17) that shows decreased signal intensity on T2 and ADC. This lesion abuts the capsule and shows focal capsular distortion.Additional foci of low T2 signal intensity is seen in the bilateral apices (axial series 1001 image 10) without reliable hypointense signal on ADC.In the right anterior transitional zone, there is an ovoid 2.3 x 1.3 cm focus with indistinct margins and hypointense T2 and ADC signal, and corresponding contrast enhancement is also noted.Central Gland: Nodular appearance compatible with BPH.Seminal Vesicles: Extracapsular Extension: No convincing evidence.BLADDER: No significant abnormality noted.LYMPH NODES: No pelvic lymphadenopathy.BONES, SOFT TISSUES: DJD of the bilateral hips.OTHER: No significant abnormality noted.
1.Rounded lesion in the left mid gland measuring 1.6 x 1.2 cm that abuts the capsule and shows capsular distortion is suspicious for malignancy.2.Ovoid lesion in right anterior transitional zone measuring 2.3 x 1.3 cm with indistinct margins and contrast enhancement is suspicious for an additional site of malignancy.3.Additional foci of indistinct low signal intensity in the bilateral apices without reliable decreased signal on ADC indeterminate.