73 year-old man with PSA of 12.8 ng/mL. No prior prostate biopsy.
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Finding: The right posterior PZ demonstrates a focal region measuring over 15 mm showing markedly decreased ADC and markedly increased high b-value signal, as well as associated focal early enhancement.
T2WI: 3. DWI: 5. DCE: (+).
PI-RADS: 5.
MRI/TRUS fusion biopsy: Gleason score 4+4 tumor.