65-year-old male with history of elevated PSA. PELVIS:PROSTATE:Prostate Size: The prostate measures 4.4 x 2.9 x 3.9 cm.Peripheral Zone: In the right midgland/base anteriorly there is a lesion measuring 15 x 8 mm demonstrating decreased T2 signal with associated restricted diffusion as well as rapid enhancement and washout following contrast administration. There is a focal area of capsular indistinctness which may represent extracapsular spread.A second wedge-shaped lesion with decreased T2 signal with no restricted diffusion measures 11 x 5 mm.Central Gland: Small hyperplastic nodules compatible with BPH.Seminal Vesicles: No significant abnormality.Extracapsular Extension: There is a focal area of capsular indistinctness which is suspicious for extracapsular spread.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Right midgland/base lesion with a focus of extracapsular spread highly suspicious for adenocarcinoma.2.Left midgland wedge-shaped lesion is indeterminant and may represent prostatitis or a low grade lesion.