61 year-old man with PSA of 21.8 ng/mL. Prior negative biopsy.
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Finding: The right anterior TZ demonstrates a non-rounded region of homogeneous moderately decreased T2 signal with ill-defined margins. The region also shows markedly decreased ADC and increased high b-value signal.
T2WI: 5. DWI: 5.
PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.