History of prostate cancer. 2014 biopsy was negative. 2013 biopsy revealed 3+3 less than 1 mm less than 5% left base lateral. 3+3 left mid medial and left mid lateral disease. PELVIS:PROSTATE:Prostate Size: 3.3 x 5.3 x 4.8 cmPeripheral Zone: Most conspicuous on the diffusion-weighted images is a 1.8 x 1.1 cm focus of restricted diffusion (series 503/324) associated with vague decreased T2 weighted signal in the left mid gland to apex. This lesion is primarily centered in the transition zone.5 mm focus of restricted diffusion and increased T2 weighted signal in the lateral left apex (series 901/15) is non-specific given its small size.Central Gland: Changes of BPH. Areas of ill-defined restricted diffusion without suspicious associated T2 weighted signal intensity.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The left mid gland to apex lesion described above appears to at least abut the prostatic margin on the DWI images but this may be due to adjacent artifact.BLADDER: 1.3 x 0.9 cm polypoid lesion along the right lateral bladder wall. It is difficult to assess its enhancement characteristics due to contrast in the bladder and artifact. It does not have T1-weighted signal hyperintensity to suggests a blood clot.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.1.8 x 1.1 cm focus of restricted diffusion in the left mid gland through apex mostly centered in the transition zone but extending into the peripheral zone, increased from the prior.2.Additional 5 mm focus in the left lateral apex of the peripheral zone is nonspecific.3.1.3 x 0.9 cm right lateral bladder wall polypoid lesion warrants cystoscopy evaluation.The incidental finding regarding the bladder wall lesion was relayed to the ordering physician (Dr. Eggener) via e-mail at 1153 03/31/2016.