HISTORY: Elevated Prostate Specific Antigen
COMPARISON: None
TECHNIQUE: Multiplanar images of the pelvis were obtained at 1.5 tesla prior to and following administration of 25 mL of Dotarem intravenous contrast
FINDINGS:
Urinary bladder: The urinary bladder appears normal, without stones or wall thickening.
Prostate: The prostate measure 6.0 x 4.8 x 6.5 cm, corresponding to an estimated size of 97 mL. There are multiple central zone nodules. No discrete peripheral zone nodule is seen. Signal is mildly heterogeneous in the peripheral zone bilaterally. There are no areas of suspicious restricted diffusion within the prostate. On postcontrast images, there is heterogeneous enhancement of the central zone. No enhancing peripheral zone lesion is seen. There is no evidence of extracapsular tumor or neurovascular bundle encasement.
Seminal Vesicles: The seminal vesicles are symmetric bilaterally and appear unremarkable.
Lymphatics: No pelvic lymphadenopathy is present.
Bones: There is no fracture or bone lesion. Posterior spinal fusion hardware is seen within the lumbosacral spine.
IMPRESSION: Benign central zone hypertrophy. No suspicious peripheral zone lesion or evidence of extracapsular prostate cancer.
PIRADS 2: Low (clinically significant cancer is unlikely to be present)
