Elevated PSA. Negative prostate biopsy 12/14/2009 PELVIS:PROSTATE:Prostate Size: 4.1 x 6.8 x 6.5 cmPeripheral Zone: The peripheral zone is homogeneously T2 hyperintense with an ovoid T2 hypointense lesion in the lateral base (series 501/70) measuring 7 x 6 mm associated with mild decreased ADC signal (series 704/324). There is mild T1-weighted hyperintensity in this region however on pre- and post-contrast images there is early nodular enhancement (series 1401/2011).Central Gland: Moderate changes of benign prostatic hyperplasia without a suspicious lesion.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: The lesion abuts the prostatic margin which appears mildly retracted without specific 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.
7 x 6 mm lesion in the left lateral mid gland is suspicious for prostatic adenocarcinoma. No specific evidence of extraprostatic tumor extension. 