77 year-old man with PSA of 7.5 ng/mL. No prior prostate biopsy.
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Finding: The left posteromedial PZ demonstrates a region of focal decreased ADC and increased high b-value signal with associated focal early enhancement.
T2WI: 3. DWI: 4. DCE: (+).
PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.