Learn Prostate MRI

Finding: The right PZ demonstrates a broad region of moderately decreased ADC and increased high b-value signal. The PZ also exhibits diffuse early enhancement that is deemed to be DCE (-) given its non-focal nature.

T2WI: 2. DWI: 3. DCE: (-). PI-RADS: 3.
MRI/TRUS fusion biopsy: High-grade prostatic intra-epithelial neoplasm (HGPIN). HGPIN. Though HGPIN is a benign entity, some studies indicate that patients with multi-focal HGPIN are at a higher risk of being diagnosed with prostate cancer on subsequent biopsy, such that these patients may warrant closer follow-up.