55 year-old man with PSA of 3.7 ng/mL. No prior prostate biopsy.
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Finding: The right anterior peripheral zone demonstrates focal markedly reduced ADC and markedly increased signal on the high b-value images. No matching focal early enhancement is identified. The lesion measures under 15 mm on the ADC map and thus is not given a DWI score of 5.
T2WI: 3. DWI: 4. DCE: (+).
PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.