57 year-old man with PSA of 13.9 ng/mL. Prior negative biopsy.
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Finding: The right anterior PZ demonstrates a focal region of markedly decreased ADC and increased high b-value signal, with associated focal early enhancement. The region measures over 15 mm and exhibits overlying extra-prostatic extension.
T2WI: 5. DWI: 5. DCE: (+).
PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.