PSA ranging from 5.8 to as high as 10.7 going back to July 2015. His most recent PSA was 6.1ng/mL values on 11/19/15. Of note, he had been on Finasteride just up until the time of his PSA in July 2015, but the medication was stopped in July 2015. Prior to this, his PSA was around 4.0 in 2008, but it is unclear what the PSA did in the interval. He underwent previous TRUS biopsy in 2008 without any cancer. PELVIS:PROSTATE:Prostate Size: 5.5 x 6.3 x 7.2 cmPeripheral Zone: The peripheral zone is relatively homogeneously T2 hyperintense without a discrete lesion.Central Gland: Marked BPH enlargement.Several regions in the central gland demonstrate mild low T2-weighted signal intensity but do not have associated restricted diffusion or arterial enhancement, and are likely related to BPH changes (series 701, 27 - right periphery of the median lobe) and fibromuscular stroma (series 701,11 - anterior apex symmetric focus). Seminal Vesicles: No evidence of seminal vesicle invasion.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.
Marked BPH without a discrete dominant lesion. 