Elevated PSA. PELVIS:PROSTATE:Prostate Size: 3.2 x 5.3 x 5.3 cmPeripheral Zone: In the left mid gland peripheral zone there is a 8 mm focus of restricted diffusion with associated T2-weighted hypointensity. There is early arterial enhancement. This lesion abuts the capsule without evidence of extracapsular extension. In the right mid gland there is a 4 mm focus of restricted diffusion and associated T2-weighted hyperintensity.Central Gland: Changes of BPH.Seminal Vesicles: No evidence of seminal vesicle invasion. No extracapsular extension.Extracapsular Extension: No evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.8 mm left mid gland peripheral zone lesion suspicious for prostatic adenocarcinoma.2.4 mm focus in the right mid gland may represent a site of metastatic adenocarcinoma. 3.No evidence of seminal vesicle invasion or extracapsular extension. No pelvic lymphadenopathy by size criteria.