68 year-old man with PSA of 5.7 ng/mL. No prior prostate biopsy.
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Finding: The left posteromedial PZ demonstrates a region of focal decreased ADC and increased high b-value signal. Early enhancement in this region is non-focal.
T2WI: 4. DWI: 4. DCE: (-).
PI-RADS: 4.
MRI/TRUS fusion biopsy: Gleason score 3+4 tumor.