76 year-old man on active surveillance of prostate cancer. PSA of 2.2 ng/mL.
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Finding: The left posteromedial PZ demonstrates a subcapsular crescentic region of markedly decreased ADC and increased high b-value signal, although without associated focal early enhancement.
T2WI: 3. DWI: 4. DCE: (-).
PI-RADS: 1.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.