Elevated PSA.PER EPIC: T1c with a single low volume core of Gleason 7 prostate cancer at the right mid and a single core of Gleason 6 low volume at the left apex. PELVIS:PROSTATE:Prostate Size: 4.5 x 6.7 x 5.8 cmPeripheral Zone: Patchy T2-weighted hyperintensity in the right and the left lateral apex of the peripheral zone.In the right mid-gland there is a 4 x 4 x 6 mm lesion with restricted diffusion (series 1204/184) with associated decreased T2 weighted signal intensity (series 1101/12).Wedge-shaped T2 weighted signal abnormality with associated restricted diffusion measuring 8 x 7 x 10 mm in the left peripheral apex is (series 1 101/10 and series 1204/1 44). The morphology suggest predominantly scarring.Central Gland: Changes of benign prostatic hyperplasia with some nodules extending into the peripheral zone.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No evidence of extracapsular extension. The left apical lesion demonstrates broad based abutment with the prostatic margin without frank extension. BLADDER: No significant abnormality noted.LYMPH NODES: Moderately prominent left external iliac lymph nodes measuring less than 5 mm in short axis, nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No greater than 1 cm dominant lesion is apparent. 6 mm right mid-gland and 1.0 cm left apical lesions are amenable to TRUS/MRI Fusion biopsy.