62 year-old man with PSA of 6.5 ng/mL. No prior prostate biopsy.
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Finding: The right posteromedial PZ demonstrates a focal region of markedly decreased ADC and increased high b-value signal, with associated focal early enhancement.
T2WI: 4. DWI: 4. DCE: (+).
PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.