Elevated PSA. PELVIS:PROSTATE:Prostate Size: 2.6 x 4.5 x 3.9 cm Peripheral Zone: The peripheral zone is mildly thinned and diffusely low on T2-weighted imaging. No discrete lesion.Central Gland: In the right anterior base there is a 1.5 x 1.3 cm focus of signal abnormality on ADC (series 503/384) associated with increased signal intensity on high B value DWI images (series 509/400), faint T2-weighted mild hypointensity (series 901/20) and associated with early arterial enhancement and relative washout (series 1 701/2 730 and 2777). This signal abnormality is adjacent to the bladder base and has a broad interface with the adjacent prostate margin without frank tumor extension.Seminal Vesicles: No evidence of seminal vesicle invasion.Extracapsular Extension: No definite extraprostatic extension. See description of right anterior base lesion above.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Right anterior base 1.5 cm lesion is suspicious for prostatic adenocarcinoma and is amenable to MRI/ultrasound fusion biopsy.