61-year-old male with history of elevated PSA. PELVIS:PROSTATE:Prostate Size: 4.3 x 5.0 x 5.0 cmPeripheral Zone: At the right base, there is a diffuse lesions demonstrating low T2 and ADC signal intensity measuring 2.0 x 0.8 cm. There is rapid enhancement and washout after contrast administration. The peripheral margins are somewhat indistinct which may indicate early invasion.A second, smaller lesion is present in the left base demonstrating low T2 and ADC signal intensity measuring 10 x 7 mm. No appreciable enhancement.A third lesion is present at the left apex with decreased T2 signal abnormality, however ADC values are normal. This lesion measures 6 mm.Central Gland: BPHSeminal Vesicles: Unremarkable.Extracapsular Extension: Questionable early invasion in the left peripheral zone, base of gland.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Suspicious lesion in the left base as above, extending to level of capsule. 2. Focal lesion in the right base is also suspicious for carcinoma.3. Nonspecific right apical lesion.