Reason: elevated PSA eval for prostate cancer History: see aboveBiopsy 2/10/2014: left apex Gleason 6 adenocarcinoma.Biopsy 10/28/2013: left mid Gleason 6 adenocarcinoma. Left apex is 6 adenocarcinoma PELVIS:PROSTATE:Prostate Size: 5.4 x 4.1 x 4.6 cm.Peripheral Zone: Diffuse low T2 signal throughout the peripheral zone may reflect chronic prostatitis and limits sensitivity of prostate MRI.There is a T2 hypointense lesion in the left apex measuring 1.2 x 0.9 cm with intermediate ADC signal and early enhancement, similar to the prior exam. No new lesions are evident.Central Gland: BPH nodules.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Subcentimeter left external iliac nodes are stable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Left apical lesion is stable and consistent with biopsy-proven adenocarcinoma. No new lesions are evident.