71-year-old man with history of biopsy in 2014 with one core of atypical small acinar proliferation, PSA of 5.85 Jan 2016 and 4.64 Sept 2016. PELVIS:PROSTATE:Prostate Size: 50 x 38 mmPeripheral Zone: Within the left mid prostate (401/71) there is an approximately 11 mm area of decreased T2 signal with mild ADC abnormality. The remainder of the peripheral zone appears normal.Central Gland: Markedly enlarged and impressing upon the bladder.Seminal Vesicles: Unremarkable.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Nonspecific inguinal lymph nodes are likely reactive.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Signal abnormality in the left lateral mid prostate peripheral zone which is indeterminate for tumor but is a candidate for biopsy.