Finding: The right anterior TZ demonstrates a region of homogeneous moderately decreased T2 signal, although lacking the classic “erased charcoal” appearance of TZ tumors on T2WI. The lesion also shows markedly decreased ADC and increased high b-value signal.
T2WI: 3. DWI: 4. PI-RADS: 3.
MRI/TRUS fusion biopsy: Gleason score 4+3 tumor.