65-year-old male patient with elevated PSA. Degradation of signal in the left hemipelvis due to replacement hardware.PELVIS:PROSTATE:Prostate Size: 5.5 x 4.0 x 4.6 cm.Peripheral Zone: There is a region of T2 hypointensity with corresponding ADC hypointensity within the right midgland measuring 1.1 x 0.7 cm (image 23, series 801) and 0.9 x 0.7 cm (image 24, series 801); this is suspicious for tumor. Linear signal abnormality within the left mid-gland is indeterminate. Central Gland: Hyperplasia with BPH nodules.Seminal Vesicles: No definite involvement.Extracapsular Extension: The capsule overlying the right midgland of the peripheral zone appears indistinct and may represent focal extraprostatic extension (image 22, series 801). BLADDER: No significant abnormality noted.LYMPH NODES: Non-specific prominent right femoral lymph node.BONES, SOFT TISSUES: Asymmetric enhancement of the hamstring insertions on the right may reflect some degree of tendinopathy. Susceptibility artifact secondary to a left hip arthroplasty device.OTHER: Fat-containing left inguinal hernia.
Signal abnormality within the right mid-gland of the peripheral zone is suspicious for tumor with questioned focal extraprostatic extension. 