54 year-old man with PSA of 18.0 ng/mL. No prior prostate biopsy.
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Finding: The right anterior TZ demonstrates a large region of non-rounded non-encapsulated decreased homogeneous moderately decreased T2 signal. The region has ill-defined margins with locally invasive behavior, extending into the adjacent PZ. The lesion, which measures over 15 mm, also exhibits focal markedly decreased ADC and increased high b-value signal.