Reason: Abnormal DRE with elevated PSA 10.3. No reported biopsy results. History: Abnormal DRE with elevated PSA 10.3. No reported biopsy results. PELVIS:PROSTATE:Prostate Size: 5.0 x 3.7 x 4.1 cm.Peripheral Zone: There is a large lesion extending from the left peripheral zone at the base, mid gland and apex which is dark on T2/ADC with early enhancement, suspicious for prostate adenocarcinoma. This lesion measures approximately 2.4 x 1.4 cm in the mid gland (1201/13). There is irregularity in the adjacent capsule with spiculation on postcontrast images in the left mid gland and apex suggesting extracapsular extension.Central Gland: BPH nodulesSeminal Vesicles: No evidence of seminal vesicle involvement.Extracapsular Extension: There is irregularity along the adjacent left lateral aspect of the capsule in the mid gland and base with spiculations and postcontrast images suggesting extracapsular extension.BLADDER: No significant abnormality noted.LYMPH NODES: Subcentimeter perirectal lymph node is nonspecific.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large peripheral zone lesion within the left base, mid gland and apex, suspicious for prostate adenocarcinoma.2.Findings suggestive of extracapsular extension.3.No pelvic lymphadenopathy.