61 year-old man with PSA of 21.8 ng/mL. Prior negative biopsy.
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Finding: Within the right anterior PZ and TZ is a large region of markedly decreased ADC and increased high b-value signal, with associated focal early enhancement and locally invasive behavior.
T2WI: 5. DWI: 5. DCE: (+).
PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.