63 year-old man with PSA of 7.8 ng/mL. No prior prostate biopsy.
 
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             Finding: The left posterolateral PZ demonstrates a focal region of markedly decreased ADC and increased high b-value signal, with associated focal early enhancement. The lesion measures 15 mm on the ADC map.
           
          
             T2WI: 5. DWI: 4. DCE: (+). 
              PI-RADS: 5. 
              MRI/TRUS fusion biopsy:  Gleason score 4+4 tumor.