He’s 75 and in good health (He says he has not had a biopsy yet) Sees urologist Wednesday Thanks
Here’s the full report
EXAMINATION: MRI PELVIS WITHOUT AND WITH IV CONTRAST (MULTIPARAMETRIC PROSTATE MRI) IV CONTRAST, 2/1/2023 9:00 AM: HISTORY: Elevated PSA COMPARISON: None TECHNIQUE: Multiplanar multisequence MRI of the prostate was performed including small field-of-view imaging and restricted diffusion using multiple b-values. Dynamic contrast-enhanced imaging was also performed.Semi-automated software (DynaCAD) was used as needed RESULT: Prostate: Dimensions: 4.2 x 3.1 x 4 cm corresponding to a volume of approximately 27.8 cc. Post biopsy hemorrhage: Absent Peripheral zone: Lesion #1: Location: left mid posterolateral peripheral zone Greatest dimension: 1 x 0.5 x 0.5 cm (series:4; image:13) T2-WI: Circumscribed, homogeneous moderate hypointense focus/mass (score 4) DWI/ADC: Focal hypointense on ADC and/or focal hyperintense on high b-value DWI (score 3) DCE: Positive Extra-prostatic extension: Equivocal (capsule contact > or = 1.5 cm OR capsule irregularity or bulge) PI-RADS assessment category: 4 Transition zone: There is transition zone hypertrophy, without focal abnormalities suspicious for clinically significant disease (PI-RADS 2). Neurovascular bundle: Unremarkable. Seminal vesicles: Unremarkable. Adjacent Organ Involvement: Not applicable. Lymph nodes: No enlarged pelvic lymph nodes. Bladder: Unremarkable. Pelvic bones: No suspicious pelvic osseous lesions. Other Findings: Diverticulosis. Degenerative changes to the vertebral column