Mr. Kemph is a 56 yr old male with PSA 4.2 to 5.7 ng/ml with recent 20 core and lesion-guided biopsy without evidence of cancer. PELVIS:PROSTATE:Prostate Size: 4.6 x 5.7 x 3.9 cm.Peripheral Zone: Within the central left aspect of the mid gland (series 601, image 23), there is a focus of decreased T2 and ADC signal measuring 4 x 8 mm which is suspicious for neoplasm.Central Gland: The central zone is hypertrophic with numerous hyperplastic nodules compatible with BPH. Within the central zone, there are 2 discrete well-circumscribed nodules (series 601, images 19 and 17) which demonstrates low T2 and ADC signal which most likely represent benign nodules.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small fat-containing bilateral inguinal hernias are noted.
Central left mid peripheral zone focus of signal abnormality suspicious for neoplasm measuring 4 x 8 mm.