During a digital rectal exam of an older male, the nurse practitioner notes the absence of the median sulcus and a firm, nodular prostate. Based on this finding, what is the most appropriate interpretation?
A:This is an expected age-related finding during a digital rectal exam
B:The findings are likely due to a prostate infection
C:Follow-up evaluation for prostate cancer is recommended
D:These findings are consistent with benign prostatic enlargement
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