57 year-old man with PSA of 6.6 ng/mL. No prior prostate biopsy.
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Finding: The right anterior PZ demonstrates a focal region of moderately decreased ADC and increased high b-value signal, with associated focal early enhancement.
T2WI: 2. DWI: 3. DCE: (+).
PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.