58-year-old male with elevated PSA, evaluation of pelvic lymph nodes PELVIS:PROSTATE:Prostate Size: 6.3 x 5.7 x 5.3 cm.Peripheral Zone: Focus of T2 hypointensity in the right paracentral apex of the peripheral zone measuring 7 x 6 mm (series 901, image 9) with corresponding restricted diffusion. Previously seen focus of left mid gland medial lesion is no longer well appreciated.Central Gland: Severe degree benign prostatic hypertrophy. Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: The tumor abuts the prostate capsule without evidence of extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Unchanged scattered external iliac lymph nodes are noted bilaterally. BONES, SOFT TISSUES: Right hamstring and left gluteus medius/minimus tendinopathy.OTHER: No significant abnormality noted.
1.Right paracentral apex peripheral zone lesion suspicious for malignancy.2.Unchanged bilateral prominent external iliac lymph nodes. 