62-year-old man with history of elevated PSA. Additional history as per chart: Patient with latest PSA of 4.47 ng/mL and biopsy from 12/9/2011 showing high-grade PIN. PELVIS:PROSTATE:Prostate Size: 54 x 42 mm.Peripheral Zone: There is a focus of decreased T2 and ADC map signal in the right paramedian peripheral zone base (series 501, image 83). There is no evidence of extracapsular extension. The remainder of the peripheral zone is unremarkable.Central Gland: No significant abnormality noted.Seminal Vesicles: No evidence of seminal vesicle involvement.Extracapsular Extension: NoneBLADDER: No significant abnormality noted.LYMPH NODES: There are small, bilateral lymph nodes with slight diffusion obstruction. The largest of these (series 801, image 21) measures 14 x 8 mm.BONES, SOFT TISSUES: There is a partially visualized left paralabral cyst measuring 18 x 16 mm.OTHER: No significant abnormality noted.
Focal area of signal abnormality in the right paramedian peripheral zone base suspicious for neoplasm.