Enlarged Prostate with Hypoechoic Nodule and Concretions: Meaning and Next Steps

What the Ultrasound Shows

An enlarged prostate with a hypoechoic (darker) nodule and concretions (calcifications) is a common transrectal ultrasound finding. The prostate surrounds the urethra; enlargement can cause urinary difficulty.

Possible Causes of a Hypoechoic Nodule

May indicate cancer, but also prostatitis or benign prostatic hyperplasia (BPH).

Prostatic Concretions

Small, hard deposits (calcium/phosphate salts) that can cause pain, discomfort, or urinary blockage.

Recommended Follow‑Up

Your doctor may recommend further tests (e.g., biopsy) to determine the nodule's cause. Treatment depends on the underlying diagnosis.